No abstract available.
Humans ; Infant, Newborn ; Infant, Premature* ; Nephroma, Mesoblastic* ; Ultrasonography, Prenatal*

No abstract available.
Rectal Fistula*

Osteochondroma is the most common of the benign bone tumors. They are probably developmental malformations rather than true neoplasms. But rarely they develope in a joint, especially in the ankle joint. We reported a case of intraarticular osteochondromatosis of ankle joint.
Ankle Joint ; Ankle ; Joints ; Osteochondroma ; Osteochondromatosis

No abstract available.
Cervix Uteri* ; Female

We report two cases of primary cutaneous cryptococcosis that is a very rare disease. One patient was a 45 year-old female, who had had an erythematous hard nodule on dorsum of right wrist for ten months, The other patient was a 53-year-old male, who had had itching and burning erythematous rashes on left auricle for ten months. Histopathologic examination showed typical spores with capsules, Other physical examination and laboratory findings were within nomal limit. Our patients were successfully treated with excision and combination of amphotericin B and 5-fluoro-cytosine.
Amphotericin B ; Burns ; Capsules ; Cryptococcosis* ; Exanthema ; Female ; Humans ; Male ; Middle Aged ; Physical Examination ; Pruritus ; Rare Diseases ; Spores ; Wrist

BACKGROUNDS:Bile reflux gastritis can occur when pylorus ablation is associated with bile stasis in the stomach. It can also occur with a gastrojejunostomy when bile is continuously poured into the gastric remnant after a vagotomy and an antrectomy. The diagnosis of bile reflux gastritis can be made only when the patient has bile gastritis documented on biopsy; the simple observation of a bile-stained mucosa in a gastric remnant is not sufficient to make the diagnosis of bile reflux gastritis. METHODS: Technetium-99m diisopropyl iminodiacetic acid (Tc-99m DISIDA) scintigraphy was used to study bile reflux into the gastric remnant in 31 patients with gastric operations. All patients had gastrofibroscopic biopsies in order to identify the bile reflux gastritis. RESULTS: Tc-99m DISIDA Scintigraphy identified bile reflux in 15 (83.2%) of 18 patients after a subtotal gastrectomy and a Billroth II gastrojejunostomy. Hewever, no bile reflux occured in either the 10 patients with a hemigastrectomy plus Billroth I gastoduodenostomy or the 3 patients with a truncal vagotomy plus pyloroplasty. Also, gastrofibroscopic biopsies identified bile reflux gastritis in only 3 patients (9.7%) with a subtotal gastrectomy plus Billroth II reconstruction. CONCLUSIONS: The patients who underwent a subtotal gastrectomy and Billroth II reconstruction showed higher bile reflux rates than did the patients who underwent a hemigastrectomy plus Billroth I reconstruction and a truncal vagotomy plus pyloroplasty (p<0.05). Also, only 9.7% of the postgastrectomy patients developed bile reflux gastritis.
Bile Reflux ; Bile* ; Biopsy ; Diagnosis ; Gastrectomy ; Gastric Bypass ; Gastric Stump ; Gastritis ; Gastroenterostomy ; Humans ; Mucous Membrane ; Pylorus ; Radionuclide Imaging* ; Reflex* ; Stomach ; Vagotomy ; Vagotomy, Truncal

BACKGROUND: Diabetic ketoacidosis(DKA) is serious acute metabolic complication and the most important cause of high morbidity and mortality of diabetes. The object of this study is to examine the clinical characteristics of patients with DKA who had a prior history of diabetes or not. METHOD: Authors reviewed retrospectively the medical records of 49 cases adimitted to Kyungpook National University Hospital from January 1991 to June 1997 with a diagnosis of DKA and classified cases as type I, type II and newly diagnosed diabetics according to prior history of diabetes. RESULTS: 1. Of 49 cases of DKA, 24(49%) were classified as type I, 17(35%) as type II from data available in the medical records, and 8(16%) had DKA as the initial manifestation of the disease. 2. The male to female ratio was 0.5 : 1 in type I, 1.1 : 1 in type II and 1.7 : 1 in newly diagnosed diabetics, and the mean age was 24.4 in type I, 57.9 in type II and 23.9 years old in newly diagnosed diabetics. 3. The mean duration between initial diagnosis of diabetes and the occurrence of DKA was 2.6 in type I and 6.9 years in type II diabetes. The occurrence of DKA within 2 years of initial diagnosis of diabetes was 54% in type I and 18% in type II diabetes, but the occurrence of DKA after 5 years of initial diagnosis of diabetes was 17% in type I and 47% in type II diabetes. 4. The precipitating factors of DKA were identified in 88% in type I, 76% in type II and 38% in newly diagnosed diabetics, and the most common precipitating factor was omission of treatment in both type I and type II(type I: 56%, type II: 35%). 5. The altered mental status was correlated with increased osmolality (p<0.05), but not with other laboratory values such as pH, bicabonate, glucose, anion gap and dehydration status(p>0.05). CONCLUSION: It is necessary to conduct early aggressive evaluation for early diagnosis and proper treatment of DKA, because DKA occurs in patients with prior history of type II diabetes and without prior diabetic history as well as patients with prior history of type I diabetes.
Acid-Base Equilibrium ; Dehydration ; Diagnosis ; Early Diagnosis ; Female ; Glucose ; Gyeongsangbuk-do ; Humans ; Hydrogen-Ion Concentration ; Male ; Medical Records ; Mortality ; Osmolar Concentration ; Precipitating Factors ; Retrospective Studies

No abstract available.
Gestational Sac* ; Ultrasonography*

No abstract available.
Liver Abscess, Pyogenic*

BACKGROUND: In patients of sepsis, especially combined with multiple organ failure syndrome, the whole body oxygen consumption is delivery dependent even above the critical oxgen delivery. This phenomenon is named as 'pathologic oxygen delivery dependency'. Multiple organ failure syndrome is characterized by maldistribution of oxygen delivery, tissue oxygen diffusion disturbance and inability of oxidative phosphorylation of anaerobic metabolites owing to hepatic failure. In liver transplantation, the anhepatic phase is characterized by uneven microperfusion due to surgical manipulation and 'total hepatic failure'. We hypothesized that there might be oxygen delivery dependency in anhepatic phase of liver transplantation. METHODS: In 14 canine orthotopic liver transplantations, whole body oxygen delivery (DO2) and oxygen consumption (VO2) were calculated as the product of cardiac output and, arterial oxygen content and arterial-venous oxygen content difference, respectively, according to the operative phases. Then the relationship between DO2 and VO2 was analyzed by correlation analysis in each operative phases. RESULTS: In control and four reperfusion phases no significant correlation was found. But in two anhepatic phases (10 minutes after inferior vena cava cross clamping, 5 minutes before reperfusion), significant correlation was found (R=0.79, 0.72, p<0.005, 0.01 repectively). In postinduction phase (50 minutes after induction), significant correlation was found (R=0.62, p<0.05), but strength of correlation was lower. CONCLUSIONS: This study showed the oxygen delivery dependency in anhepatic phase of liver transplantation. Therefore supranormal oxygen supply advocated in multiple organ failure syndrome and sepsis might be applicable to management of anhepatic phase of selected recipients.
Cardiac Output ; Constriction ; Diffusion ; Humans ; Liver Failure ; Liver Transplantation* ; Liver* ; Multiple Organ Failure ; Oxidative Phosphorylation ; Oxygen Consumption* ; Oxygen* ; Reperfusion ; Sepsis ; Vena Cava, Inferior