1.A Case of Crohn's Disease Confined to the Stomach.
Yun Yee HWANG ; Yong Ki JO ; Jae Moon CHA ; Kung Hwan KIM ; Il Hwan NA ; Dong Hyeon LEE ; Hong Seong HA ; Sang Hyun KIM ; Chul Soo SONG
Korean Journal of Gastrointestinal Endoscopy 2003;26(3):146-149
Although Crohn's disease is usually found in the ileum and colon, it can be located in the whole gastrointestinal tract from the oral cavity to the anus. The frequency of gastroduodenal Crohn's disease is rare and is reported to range between 0.5% and 4.0% in Crohn's disease. And when Crohn's disease does involve the upper gastrointestinal tract, there is nearly always concomitant disease in the small bowel and colon. Very rarely, isolated Crohn's disease of the stomach and duodenum may occur. Definite diagnosis requires histologic confirmation, however, endoscopic biopsies often fail to reveal granuloma. Thus, if absence of definite histologic findings, combining clinical, radiologic and endoscopic findings suggest this condition. We experienced a first case of Crohn's disease confined to stomach and reported with review of the literature.
Anal Canal
;
Biopsy
;
Colon
;
Crohn Disease*
;
Diagnosis
;
Duodenum
;
Gastrointestinal Tract
;
Granuloma
;
Ileum
;
Mouth
;
Stomach*
;
Upper Gastrointestinal Tract
2.Pelvic Bone Fracture with Bladder Rupture.
Sang Hong LEE ; Kung Chul SONG ; Sang Ha PARK ; Chi Hyoung PARK ; Sueng Hwan JO ; Dong Hoon LIM
The Journal of the Korean Orthopaedic Association 2013;48(3):222-230
PURPOSE: The purpose of this study was to evaluate the injury mechanism of pelvic bone fracture and injury type and treatment of bladder rupture associated with pelvic bone fracture. MATERIALS AND METHODS: From September 2002 to February 2011, we treated pelvic bone fracture with bladder rupture in 56 cases with minimal follow up of one year. Each of the 56 cases was classified into groups depending on the mechanism of pelvic fracture (Young classification) and the aspect of bladder rupture (intraperitoneal rupture, extraperitoneal rupture, combined rupture) after which the relationship between the two aspects was analyzed retrospectively. RESULTS: There were a total of 56 cases where bladder ruptures occurred in association with pelvic bone fractures; 34 patients were men and 22 patients were women. The average age was 58.2 years (range: 19-84). Traffic accidents were the main cause of pelvic bone fractures with bladder ruptures in 41 cases. The main injury mechanism was lateral compression, and pubic ramus fractures occurred in 38 cases (67.9%). Regarding the classifications of bladder ruptures, there were 17 cases of intraperitoneal rupture, 37 cases of extraperitoneal rupture, and two cases of combined rupture. Operations were performed on all cases of intraperitoneal and combined rupture and on six cases of extraperitoneal rupture. CONCLUSION: Lateral compression was the most common injury of bladder rupture in pelvic bone fracture. Bladder ruptures occurred even in cases where the displacement of pelvic bones was not severe and also in cases of low energy injury.
Accidents, Traffic
;
Displacement (Psychology)
;
Female
;
Follow-Up Studies
;
Humans
;
Male
;
Pelvic Bones
;
Rupture
;
Urinary Bladder
3.Two Cases of Superior Mesenteric Artery Syndrome.
Kung No LEE ; Hwoon Yong JUNG ; Seung Yong KIM ; Hun Ho SONG ; Chul Rhoung LEE ; Jong Beom PARK ; Jae Chul CHO ; Dong Il KIM ; Suk Kyun YANG ; Byeong Sik KIM ; Hyun Kwon HA ; Weon Seon HONG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 1999;19(5):823-828
Superior mesenteric artery (SMA) syndrome results from compression of the third portion of the duodenum by the superior mesenteric artery or one of its branches where this vessel crosses over the duodenum as it descends from the aorta. Recently 2 cases of SMA syndrome were experienced. A 43-year-old female and a 41-year-old male were admitted due to complaints of frequent postprandial abdominal distension and vomiting for 4 months. An UGI series and abdominal CT scan revealed distension of stomach and duodenum with a cut-off in the duodenal third portion. Both patients underwent duodenojejunostomy with successful symptom relief.
Adult
;
Aorta
;
Duodenum
;
Female
;
Humans
;
Male
;
Mesenteric Artery, Superior*
;
Stomach
;
Superior Mesenteric Artery Syndrome*
;
Tomography, X-Ray Computed
;
Vomiting
4.A Case of Delayed Presentation of a Traumatic Diaphragmatic Hernia.
Hun Ho SONG ; Hwoon Yong JUNG ; Young Hwan PARK ; Kung No LEE ; Sang Soo LEE ; Chul Ryoung YI ; Dong Il KIM ; Jong Beom PARK ; Suk Kyun YANG ; Sung Tae OH ; Hyun Kwon HA ; Weon Seon HONG ; Young Il MIN
Korean Journal of Gastrointestinal Endoscopy 2000;20(1):46-48
The majority of undiagnosed diaphragmatic ruptures are associated with a high mortality rate if not treated immediately. A high index of suspicion for diaphragmatic injury during initial evaluation is the most important factor. A case was experienced involving delayed presentation of a traumatic diaphragmatic hernia, in a 49 year old female injured in a road traffic accident a year prior to admission. She was admitted with complaints of left side chest pain, nausea, and vomiting for 7 days. She was diagnosed as a diaphragmatic hernia on her left side by several diagnostic tests including a gastroscopy and CT scan. Her medical history was carefully examined as well. Surgical repair was performed.
Accidents, Traffic
;
Chest Pain
;
Diagnostic Tests, Routine
;
Female
;
Gastroscopy
;
Hernia, Diaphragmatic
;
Hernia, Diaphragmatic, Traumatic*
;
Humans
;
Middle Aged
;
Mortality
;
Nausea
;
Rupture
;
Tomography, X-Ray Computed
;
Vomiting
5.A Case of Disseminated Coccidioidomycosis with Pelvic Bone and Paravertebral Abscess.
Jun Chul PARK ; Joon Hyung KIM ; Nam Su KU ; Keun Ho LEE ; You Kung CHOI ; Yong Ho LEE ; Young Keun KIM ; Myung Su KIM ; Yong Goo SONG ; So Youn SHIN ; Yeon A KIM ; Yoon Seon PARK ; Sang Ho CHO ; Chang Ki KIM ; Dongeun YONG ; Jun Yong CHOI ; June Myung KIM
Infection and Chemotherapy 2006;38(5):296-299
Coccidioidomycosis results from inhaling the spores (arthroconidia) of Coccidioides species (Coccidioides immitis or Coccidioides posadasii), and is endemic in the southern United States. An even smaller proportion of all infections result in illnesses related to extrapulmonary infection. We report a case of coccidioidomycosis manifested as pelvic bone and paravertebral abscess in a Korean who has visited LA. Culture and pathology from the pelvic bone and paravertebral mass revealed Coccidioides immitis, and a diagnosis of disseminated coccidioidomycosis was made.
Abscess*
;
Coccidioides
;
Coccidioidomycosis*
;
Diagnosis
;
Inhalation
;
Pathology
;
Pelvic Bones*
;
Spores
;
United States
6.A Case of Disseminated Coccidioidomycosis with Pelvic Bone and Paravertebral Abscess.
Jun Chul PARK ; Joon Hyung KIM ; Nam Su KU ; Keun Ho LEE ; You Kung CHOI ; Yong Ho LEE ; Young Keun KIM ; Myung Su KIM ; Yong Goo SONG ; So Youn SHIN ; Yeon A KIM ; Yoon Seon PARK ; Sang Ho CHO ; Chang Ki KIM ; Dongeun YONG ; Jun Yong CHOI ; June Myung KIM
Infection and Chemotherapy 2006;38(5):296-299
Coccidioidomycosis results from inhaling the spores (arthroconidia) of Coccidioides species (Coccidioides immitis or Coccidioides posadasii), and is endemic in the southern United States. An even smaller proportion of all infections result in illnesses related to extrapulmonary infection. We report a case of coccidioidomycosis manifested as pelvic bone and paravertebral abscess in a Korean who has visited LA. Culture and pathology from the pelvic bone and paravertebral mass revealed Coccidioides immitis, and a diagnosis of disseminated coccidioidomycosis was made.
Abscess*
;
Coccidioides
;
Coccidioidomycosis*
;
Diagnosis
;
Inhalation
;
Pathology
;
Pelvic Bones*
;
Spores
;
United States