No abstract available.
Adrenocortical Carcinoma*

No abstract available.
Polyarteritis Nodosa*

Descending necrotizing mediastinitis (DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.
Drainage ; Humans ; Male ; Mediastinitis* ; Mediastinum ; Middle Aged ; Neck

We report a case of subcutaneous fat necrosis associated with pancreatitis that may be the first case in Korean hterature as for we know. The patient was a 41-year-old man wbo presented erythema nodesum-like erythematous subcufaneous nodules on both lower extremities. Histopathologic findings showed subcutaneoms focal fat necrosis and ghoat-like cells. Granular basophilic material was deposited in and around the necrotic fat cells and stained positively with von Kossa stain. The lesioas subsided gradwdly without any specific treatment, as the underlying pancreatitis was ameliorated.
Adipocytes ; Adult ; Basophils ; Erythema ; Fat Necrosis ; Humans ; Lower Extremity ; Necrosis* ; Pancreatitis* ; Subcutaneous Fat*

No abstract available.
Humans ; Infant, Newborn*

No abstract available.
Female ; Hydronephrosis* ; Ovarian Cysts*

The authors retrospectively analysed the ultrasonographic findings of 43 cases of surgically confirmed hypertrophic pyloric stenosis and their postoperative findings of sonograms taken at 1 month(n=40) or 3 months( n=5) after pyloromyotomy. In preoperative study, the thickened pyloric muscle was isoechoic or slight hypoechoic relative to liver on the midline longitudinal view and appeared as a "nonuniform acoustic ring" on the transverse view. The results of measurement in the all cases with hypertrophic pyloric stenosis were the pyloric thickness ≥3.8mm, the pyloric diameter ≥14mm, the pyloric channel length ≥16mm, the pyloric muscle volume ≥2.21Cm
Acoustics ; Follow-Up Studies ; Humans ; Liver ; Methods ; Pyloric Stenosis, Hypertrophic ; Reference Values ; Retrospective Studies ; Ultrasonography*

PURPOSE: The purpose of this study was to evaluate the CT features of second branchial cleft cysts. MATERIALS AND METHODS: We retrospectively analyzed the computed tomographic images in nine cases of second branchial cleft cyst which was confirmed pathologically. Emphasis was on localization of the masses to fascial spaces as defined by the deep cervical fasica. RESULTS: In all nine cases, the lerions were located in the submandibular and carotid spaces. Among these cases, six(67%) had simultaneous involvement of the other contiguous spaces, such as anterior and posterior cervical spaces. All cases had round or oval, unilocular, cystic masses with partial or complete rim enhancement. In eight cases(89%), smooth and thin walls were observed. In one case, thick wall and septations were noted. No definite calcifications were noted in all cases. The internal contents of cystic masses showed relatively homogeneous appearance, and CT number ranged from 20 to 35.2 Hounsfield unit(HU)(mean, 28.4HU). CONCLUSION: CT diagnosis of second branchial cleft cyst would be easily obtained from recognition of frequent simultaneous involvement of the other contiguous spaces, along with a typical location and characteristic morphology.
Branchial Region* ; Branchioma* ; Diagnosis ; Retrospective Studies

23 cases of infantile hypocalcemia which were admitted to the pediatric department of Daegy Presbyterian Hospital during the past 2 years from August 1975 throght July 1977 were clinically evaluated. The results were as follows: 1) The age distribution was ranging from one day to six months with 19 cases(82.6%) of newborn under the 1 month of age and sex incidence revealed male predominance with male to female ratio about 1.5:1 2) 14 cases (60.9%) were fed artificially, 7 cases (30.4%) with breast milk and 2 cases (8.7%) with mixed feeding. 3) Out of 9 cases of which birth weigh were known, 7 cases had low birth weight. 4) In all cases serum calcium was below 8mg% and 12 cases (52.1%) had 6~7mg% of serum calcium. 5) In all cases, the serum phosphorus was above 4 mg% and 16 cases (69.6%) had serum phosphorus above 6mg%. 6) The cardinal symptoms and signs in order of frequency were convulsion (69.5%), poor feeding(47.8%), irritability (34.8%), hypotonicity (21.7%). There was no significant differences in clinical symptoms for early and late neonatal hypocalcemia. 7) 8 cases (33.3%) were complicated with infections. 8) All cases were recovered after receiving calcium therapy. 19 cases (90.5%) had regained normal serum calcium level within 4 weeks after initiation of calcium therapy.
Age Distribution ; Calcium ; Female ; Humans ; Hypocalcemia* ; Incidence ; Infant, Low Birth Weight ; Infant, Newborn ; Male ; Milk, Human ; Parturition ; Phosphorus ; Protestantism ; Seizures

Spontaneous spinal subdural hematoma (SDH) is very rare. Furthermore, intracranial vasospasm (ICVS) associated with spinal hemorrhage has been very rarely reported. We present an ICVS case without intracranial hemorrhage following SDH. A 41-year-old woman was admitted to our hospital with a complaint of severe headache. Multiple intracranial vasospasms were noted on a brain CT angiogram and transfemoral cerebral angiography. However, intracranial hemorrhage was not revealed by brain MRI or CT. On day 3 after admission, weakness of both legs and urinary incontinence developed. Spine MRI showed C7~T6 spinal cord compression due to hyperacute stage of SDH. After hematoma evacuation, her symptoms gradually improved. We suggest that spinal cord evaluation should be considered in patients with headache who have ICVS, although intracranial hemorrhage would not be visible in brain images.
Adult ; Brain ; Cerebral Angiography ; Female ; Headache ; Hematoma ; Hematoma, Subdural, Spinal* ; Hemorrhage ; Humans ; Intracranial Hemorrhages* ; Leg ; Magnetic Resonance Imaging ; Spinal Cord ; Spinal Cord Compression ; Spine ; Subarachnoid Hemorrhage ; Urinary Incontinence ; Vasospasm, Intracranial*