No abstract available.
Adenocarcinoma* ; Estrogens*

No abstract available.
Upper Extremity Deep Vein Thrombosis

Urinary tract calculi composed primarily of cystine are rare in adults and children. These are usually pure and found exclusively in patients with cystinuria. Cystinuria is an inherited defect in renal tubular reabsorption of four amino acids, cystine, ornithine, lysine, and arginine. Herein we report on a 2 and 1/12 years old male child with a right renal stone and multiple bladder stones composed primarily of cystine which were confirmed by X-ray diffraction method post-operatively.
Adult ; Amino Acids ; Arginine ; Calculi ; Child ; Cystine* ; Cystinuria ; Humans ; Lysine ; Male ; Ornithine ; Urinary Bladder Calculi ; Urinary Tract ; X-Ray Diffraction

A total of 6043 surgical cases were performed at S.D.A. Hospital from 1973 to 1979. These were analyzed statistically according to yearly numbers and emergency states, age, sex, anesthetic methods, anesthetic technique, duration of anesthesia, anesthetic agents and mortality. These were all inpatients operated under general anesthesia, and the results are as follows. Results. 1) Yearly numbers and emergency numbers were steadily increasing. 2) Sex ratio was 65%: 35% 2887 male cases(47.7%) and 5156 female cases(52.23%). 3) More than half of the age group was adult(21 to 60 years) 4) Halothane, nitrous oxide and neuromuscular blocker were used with increasing tendency. 5) The anesthetic technique was, in more than 90% of cases, was circle absorption system. 6) General surgery cases were 40% of the total of all departments. 7) In 66.95% of anesthesias the duration was 1 to 3 hours. 8) General anesthesia group was 98.63%. 9) Deathe occurred in 6 cases our of a total of 6043 cases.
Absorption ; Anesthesia* ; Anesthesia, General ; Anesthetics ; Emergencies ; Female ; Halothane ; Humans ; Inpatients ; Male ; Mortality ; Neuromuscular Blockade ; Nitrous Oxide ; Sex Ratio

Since Brown first described the eosinophilic cystitis in 1959, 42 cases has been reported in the literature. In Korea, only 1 case was reported from the National Medical Center a couple of years ago. Eosinophilic cystitis is characterized histologically by infiltration of eosinophils into the mucosa, submucosa and muscularis of the bladder and cystoscopically by elevated erythematous mucosal lesions. These lesions have been mistakenly diagnosed as bladder tumors prior to biopsy. Clinically, it presents with dramatic and recurrent episodes of dysuria and hematuria. It can occur in two different clinical setups. The first is seen in women and children and is often associated with allergic disorders and eosinophilia. The second presents in older man and is usually associated with bladder injury related to other conditions of bladder and prostate. We herein add two cases of eosinophilic cystitis, review etiologic theories and outline management.
Biopsy ; Child ; Cystitis* ; Dysuria ; Eosinophilia ; Eosinophils* ; Female ; Hematuria ; Humans ; Korea ; Mucous Membrane ; Prostate ; Urinary Bladder ; Urinary Bladder Neoplasms

PURPOSE: All procedures for the removal of retained intrahepatic stones were performed on inpatient basis. We evaluated the advantage of the procedures performed on inpatient basis compared with outpatient basis in terms of the success rate, causes of failure and the complication. MATERIALS AND METHODS: Percutaneous removal of retained intrahepatic stones was performed in 58 patients through a T-tube tract on inpatient basis from April 1990 to December 4992. Stones were exclusively intrahepatic in 28 patients, whereas 30 patients had combined stones in common bile duct. Preshaped catheters, baskets, and balloon catheters were used to remove the stones and dilate the strictures of the ducts. Extracorporeal shock wave lithotripsy and choledochoscopy with electrohydraulic lithotripsy were used to crush the impacted stones. RESULTS: The stones were completely removed in 34 (58.6%) of 58 patients and most of the stones were removed in 17 patients (29.3%). The overall success rate was 87.9%. The complications (cholangitis in 13% and pancreatitis in 0.8% per session) were found and successfully managed by appropriate care. CONCLUSION: Better success rate could be achieved by more aggressive appraoch on inpatient basis when compared with previous reports on outpatient basis. We suggest that the procedures should be performed on inpatient basis especially in a case with severe strictures or impacted stones.
Catheters ; Common Bile Duct ; Constriction, Pathologic ; Humans ; Inpatients ; Lithotripsy ; Outpatients ; Pancreatitis ; Shock

Duplication of the renal pelvis and ureter is the most common congenital anomaly of the upper urinary tract. The three most important abnormalities associated with duplicated kidney are vesicoureteral reflux, ectopic ureter and ureterocele. Herein we present three cases of unilateral, complete duplicated ureter in children associated with ectopic ureteral orifice, vesicoureteral reflux and ectopic ureterocele, respectively, with review of related literatures. They have suffered from urinary incontinence with normal voiding since birth, recurrent urinary tract infection and protruding mass from the urethral meatus on straining respectively. Two cases of them were treated with partial nephrectomy and ureterectomy, the third was performed partial nephrectomy, ureterectomy and ureterocelectomy.
Child* ; Humans ; Kidney ; Kidney Pelvis ; Nephrectomy ; Parturition ; Ureter* ; Ureterocele ; Urinary Incontinence ; Urinary Tract ; Urinary Tract Infections ; Vesico-Ureteral Reflux

No abstract available.
Multiple Endocrine Neoplasia*

Neurological complications occur frequently in patients undergoing liver transplantation. We report a case of multi-ple neurologic complications including central pontine and extrapontine myelinolysis, seizure, and mutism after liver transplantation. Though the cause would be obscure and multifactorial, the hyponatremia with its rapid correction dur-ing operation and the side effects of the immunosuppressant would be the most probable causes in this case.
Humans ; Hyponatremia ; Liver Transplantation* ; Liver* ; Mutism ; Myelinolysis, Central Pontine ; Seizures

The purpose of this study is to review the validity of quantitative indices on the Evaluation of Korean Medical Schools in 1996. The data required for the indices were obtained from the 1996's edition of the Directory of Korea Medical Education and compared to the results of the evaluation. Among the quantitative indices of the evaluation the number of professors and assistants of basic medical science was the most valuable index to differentiate the better group from lesser groups of medical schools in Korea.
Education, Medical ; Korea ; Schools, Medical*