1.Long term results of devega tricuspid annuloplasty.
Byung Yul KIM ; Wook Su AHN ; Yong HUR ; Jung Ho LEE ; Hoe Sung YU
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(11):827-832
No abstract available.
2.Schwannoma of the Ulnar Nerve in the Elbow: A Case Report.
Doo Sup KIM ; Jung Ho RAH ; Hoe Jeong CHUNG ; John Junghun SHIN ; Kyung Jin HONG
Clinics in Shoulder and Elbow 2014;17(4):181-184
Schwannomas are soft tissue sarcomas arising from neurilemma of Schwann cells in peripheral nerves, and is the most frequent type of benign tumor found in these nerves. We report a case of a Schwannoma of the ulnar nerve in the elbow joint, and along this report, give a review of the literature. A 46-year-old male patient was hospitalized with complaints of swelling and pain in the left elbow and a tingling sensation and hypoesthesia of the fourth and fifth fingers. Physical examination of the patient showed he was positive for Tinel's sign, and magnetic resonance imaging results demonstrated the presence of a Schwannoma. Subsequent biopsy and excision of the Schwannoma was carried out. The suspected mass, which had a clear margin separating it from the healthy nerve of the medial left elbow, was removed along with its 2 x 2 x 3 cm capsule after a histological diagnosis of a Schwannoma was made. Pathophysiological results confirmed the excised mass as a Schwannoma. Schwannoma of the ulnar nerve within the elbow joint is rare and differential diagnosis is difficult. Therefore, treatment can only proceed after the presence of Schwannoma has been confirmed by physical and radiological examinations.
Biopsy
;
Diagnosis
;
Diagnosis, Differential
;
Elbow Joint
;
Elbow*
;
Fingers
;
Humans
;
Hypesthesia
;
Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Neurilemma
;
Neurilemmoma*
;
Peripheral Nerves
;
Physical Examination
;
Sarcoma
;
Schwann Cells
;
Sensation
;
Ulnar Nerve*
3.Sertoli Cell Adenomas in Complete Testicular Feminization Syndrome.
Min A KANG ; Jong Ho KIM ; Suck Chul CHOI ; Hoe Saeng YANG ; Jae Chul SIM ; Jung Ran KIM
Korean Journal of Obstetrics and Gynecology 1999;42(1):179-183
Testicular feminization is an uncommon genetic disorder with considerably familial predisposition and results in total feminization due to end-organ unresponsiveness to androgens. It is characterized by the presence of testes in phenotypically female with adequate breast development, normal extemal genitalia, absence of mullerian structures, and meager or absence of body hair. These patients characteristically have male karyotype(XY) and negative sex chromatin and are at increased risk of undergoing malignant transformation of the undescended gonad. In recent times, the malignant potential of the dysgenetic gonads in the intersex patients with a Y chromosome has been stressed by many authors, but few reports of an association between testicular feminization syndrome and benign tumors such as Sertoli cell adenomas. In the present study, postoperative pathology revealed that the gonads were Sertoli cell adenomas. The main features of clinical presentation and histological studies are briefly discussed with a review of the literature.
Adenoma*
;
Androgen-Insensitivity Syndrome*
;
Androgens
;
Breast
;
Female
;
Feminization
;
Genitalia
;
Gonads
;
Hair
;
Humans
;
Male
;
Pathology
;
Sex Chromatin
;
Testis
;
Y Chromosome
4.Clinical analysis of completion pneumonectomy: Report of 11 cases.
Yong HUR ; Jae Hong PARK ; Joon Ho MOON ; Kyong Tae CHA ; Wook Soo AHN ; Byung Yul KIM ; Jung Ho LEE ; Hoe Sung YU
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(11):851-855
No abstract available.
Pneumonectomy*
5.Subcutaneous Metastasis at the PTBD Catheter Insertion Site in Bile-duct Carcinomas: Report of two cases.
Dong Pyo LIM ; Won Hoe KOO ; Jung Ho ROH ; Chol Kyoon CHO ; Hyun Jong KIM
Journal of the Korean Surgical Society 2000;59(2):281-285
Percutaneous transhepatic biliary drainage (PTBD) is the basis for most biliary interventional pro cedures, and the application of preoperative PTBD to patients who have malignant obstructive jaundice has a significant effect on overall morbidity, mortality, and patient survival by allowing selective application of the most appropriate therapeutic modality. There are few case reports on subcutaneous metastasis of bile-duct cancer. We recently observed a subcutaneous metastasis at the catheter insertion site after PTBD in two patients with bile-duct cancer. Although tumor-cell seeding along the catheter tract is a very rare complication, we think that PTBD requires more attention when a curative resection is planned.
Bezafibrate
;
Catheters*
;
Drainage
;
Humans
;
Jaundice, Obstructive
;
Mortality
;
Neoplasm Metastasis*
6.Cystic lymphangioma of the pancreas mimicking pancreatic pseudocyst.
Ho Hyun KIM ; Eun Kyu PARK ; Jin Shick SEOUNG ; Young Hoe HUR ; Yang Seok KOH ; Jung Chul KIM ; Chol Kyoon CHO ; Hyun Jong KIM
Journal of the Korean Surgical Society 2011;80(Suppl 1):S55-S58
Lymphangiomas are rare congenital benign tumors arising from the lymphatic system, and are mostly encountered in the neck and axillary regions of pediatric patients (95%). Lymphangioma of the pancreas is extremely rare accounting for less than 1% of these tumors. We report here on a case of pancreatic cystic lymphangioma. A 54-year-old woman presented with intermittent postprandial abdominal discomfort and radiating back pain. Abdominal computed tomography scan revealed 8 x 6.5 cm hypodense cystic mass arising from the tail of the pancreas without septa or solid component. The initial impression was a pancreatic pseudocyst. The patient underwent distal pancreatectomy with splenectomy. The histopathologic and immunohistochemical study helped make the diagnosis of a pancreatic cystic lymphangioma. Herein, we report a case of pancreatic cystic lymphangioma mimicking pancreatic pseudocyst and review the relevant medical literature.
Accounting
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Back Pain
;
Female
;
Humans
;
Lymphangioma
;
Lymphangioma, Cystic
;
Lymphatic System
;
Middle Aged
;
Neck
;
Pancreas
;
Pancreatectomy
;
Pancreatic Cyst
;
Pancreatic Pseudocyst
;
Splenectomy
7.Bone Signal Abnormality, as seen on Knee Joint MRI: Relationship between Its Location and Associated Injury.
Young Nam KIM ; Baek Hyun KIM ; Hoe Seok JUNG ; Eui Sung NA ; Hye Young SEOL ; In Ho CHA ; Hong Chul LIM
Journal of the Korean Radiological Society 1998;39(1):149-153
PURPOSE: The purpose of the study was to evaluate the relationship between the location of bone signalabnormality and associated injury, as seen on MR, in patients with acute knee joint injury. MATERIALS AND METHODS: Thirty-six patients with acute knee injury and bone signal abnormalities on MR were included in this study. Thefemur and tibia were each divided into six compartments, namely the anteromedial, medial, posteromedial,anterolateral, lateral, and posterolateral ; these were obtained in each knee joint. We evaluated the location ofbone signal abnormality and the corresponding arthroscopic or operative findings of injury to ligaments andmenisci. Cases with signal abnormalities involving more than three compartments were excluded. RESULT: Bonesignal abnormalities were demonstrated in 51 compartments. Most(84%, 43/51) were noted in the lateral half of theknee joint, the most common location being the tibio- posterolateral compartment(13/51). The femoro-lateral(11/51) and tibio- anterolateral compartment(8/51) were the next most common locations. All cases(13/13)with bone signal abnormality in the tibio- posterolateral compartment had tears at the anterior cruciate ligament,while 9 of 11 cases(81%) with abnormality in the femoro- lateral compartment had tears at the anterior cruciateligament. Six of eight cases(75%) with signal abnormality in the tibio- anterolateral compartment had tears at theposterior cruciate ligament ; 31 of 43 cases (72%) with abnormality in the lateral half of the knee joint hadtears at the medial collateral ligament. Six of eight cases(75%) with signal abnormality in the medial half of theknee joint had tears at the medial meniscus, but no lateral meniscal tear was found. Among patients with signalabnormality in the lateral half of the knee joint, the tear was lateral meniscal in nine of 43 cases(21%) andmedial meniscal in six of 43(14%). CONCLUSION: The location of bone signal abnormality, as seen on knee MR, inpatients with acute knee joint injury could be an important finding suggesting associated injury.
Collateral Ligaments
;
Humans
;
Inpatients
;
Joints
;
Knee Injuries
;
Knee Joint*
;
Knee*
;
Ligaments
;
Magnetic Resonance Imaging*
;
Menisci, Tibial
;
Tibia
8.Radiologic Findings of Korean Gaucher Disease.
Jae Hyun CHO ; Byoung Suck KIM ; Moon Kyun KIM ; Yoon Sok CHUNG ; Doo Hoe HA ; Jung Ho SUH ; Hyon J KIM
Journal of the Korean Radiological Society 1999;40(4):759-767
PURPOSE: To document the radiologic characteristics of Korean Gaucher disease. MATERIALS AND METHODS: Fifteen bone marrow biopsy and laboratory data confirmed Gaucher disease patients (age 1 -21, mean 10.9 yr) wereundertaken plain X ray and MRI. Number of type I were 10, type II, 2, type III, 3. Seven were splenectomized oninitial evaluation or during follow up. Five enzyme treated patient were undertaken follow-up MR examinationduring 6 -40 month with 6 month interval. Conventional T1 and T2WI of spine and femur was performed and FMPSPGR inand out of phase image was also done. Volume of liver and spleen were measured, and bone marrow infiltration andpresence of infarction were scored according to 6 scale scoring system. Clinical data were also reviewed andcorrelated with the MR findings. RESULTS: Marrow infiltration was noted in 71.4% of all patients in MRI, while itwas in 45.7% with plain radiography. Type I group showed marrow infiltration in all but one cases, which wasparallel with ages, SGPT, and presence of osteopenia, reversely correlated with spleen size. Severe bonecomplications (infarction or fracture) were noted in 7 of 10 type I group, and 6 patients showed severe growthretardation (below 3rd percentile). Follow up MR examination of 5 patient showed decrease in liver and spleen sizefirst without bone change until 6 months. There showed bone regeneration in 2 patient 1 year after, and increasedfat signal in one patient 3.5 years after. In and out of phase images couldn't help in quantifying fatcomposition in bone marrow. CONCLUSION: Korean Gaucher patients revealed as more severe skeletal complicationsthan others reported from Western groups. MR examination is a effective modality to evaluate and monitor ofGaucher patients.
Alanine Transaminase
;
Biopsy
;
Bone Diseases, Metabolic
;
Bone Marrow
;
Bone Regeneration
;
Femur
;
Follow-Up Studies
;
Gaucher Disease*
;
Humans
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Infarction
;
Liver
;
Magnetic Resonance Imaging
;
Metabolism
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Radiography
;
Spine
;
Spleen
9.Surgical treatment of primary cardiac tumor.
Kyoung Tae CHA ; Min Su HONG ; Byung Chul CHOI ; Seob LEE ; Hwan Kuk YOO ; Yong HUR ; Wook Su AHN ; Byung Yul KIM ; Jung Ho LEE ; Hoe Sung YU
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(7):701-711
No abstract available.
Heart Neoplasms*
10.Spontaneous Rupture of the Hepatic Duct.
Chul HAN ; Won Hoe KOO ; Jung Ho ROH ; Chol Kyoon CHO ; Hyun Jong KIM
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2000;4(2):233-235
Spontaneous rupture of the bile duct is an exceedingly rare and usually recognized fatal cause of peritonitis and intraabdominal sepsis. Several reports of isolated cases have demonstrated its rarity in the absence of operative trauma or severe injury. Perforation of the biliary system occurs most frequently in the gall bladder, which perforation of the hepatic duct is less common, being described mainly in infants, but extremely rarely in adults. The diagnosis of the spontaneous rupture of the bile duct depends on meticulous clinical examination and imaging investigation. The basic principles of treatment are to stop the bile leakage, evacuate the extravasated bile, apply decortication of the encapsulated fluid collection and provide adequate drainage. We report on a patient with spontaneous perforation of the right hepatic duct who presented with abdominal pain, jaundice and fever. Exploratory surgery showed proximal common bile duct obstruction with right hepatic duct perforation.
Abdominal Pain
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Adult
;
Bile
;
Bile Ducts
;
Biliary Tract
;
Common Bile Duct
;
Diagnosis
;
Drainage
;
Fever
;
Hepatic Duct, Common*
;
Humans
;
Infant
;
Jaundice
;
Peritonitis
;
Rupture, Spontaneous*
;
Sepsis
;
Urinary Bladder