Pyelo-caliceal diverticulum refers to a cystic cavity containing urine the renal parenchyme, which is lined by transitional epithelium and communicates with the renal pelvis or a calyx through a narrow channel. Pyelo-caliceal diverticulum is a relatively uncommon entity and are usually quite small in size, averaging 0.5 cm to 5cm. Huge pyelo-caliceal diverticulum is presented with review of literatures.
Diverticulum* ; Epithelium ; Kidney Pelvis

Since Gustave Simon performed the first planned nephrectomy in 1869, it has been one of the most important procedures in the field of urologic surgery. It may be required in a wide variety of circumstances and various methods of operative procedures have been introduced. Also its complications have been documented according to the particular operative methods. A clinical observation was made on the 76 patients nephrecromized in the Dept. of Urology, Ehwa Woman`s University Hospital, during the period from April, 1976 to March, 1981 and a brief review of literature was made. The results were as follows; 1. The total number of in-patients during the above period was 1,025 and nephrectomies were performed in 76 patients of the 605 total urologic operations (12. 5%). 2. Age distributions revealed the highest in 21-30 year old with 22.3% and the youngest age was 9 year old and the oldest 68 years. Sex distribution was nearly equal. 3. The causative diseases of the nephrectomy were renal tuberculosis 31 cases (40. 8%), calculous disease 13 cases (17. 2%), renal neoplasms 8 cases (10. 5%) and renal injury 8 cases (10. 5%) in its descending order. 4. Lumbar approach with resection of the 11th rib was the most frequently employed (32. 9%) and post-operative complications were seen in 10 cases (13. 1%), of which wound infection was the highest(5. 3%). 5. 53 cases (69. 8%) were discharged within 10 days after operation and only 5 cases (6. 5%) remained more than on month. 6. Blood transfusion were necessary in 39 cases (51. 3%) during operation and its average amounts of transfusion were 3. 1 pints. Average time of operation was 2 hours and 22 minutes.
Age Distribution ; Blood Transfusion ; Child ; Humans ; Kidney Neoplasms ; Nephrectomy ; Ribs ; Sex Distribution ; Surgical Procedures, Operative ; Tuberculosis, Renal ; Urology ; Wound Infection

The horseshoe Kidney is probably the most common of all renal fusion anomalies which often accompanies vascular anomalies and obstructive complications. Good post-operative results will be assumed with careful attention to the anatomy, vasculatures and drainge from renal pelvis at the time of operation. A 33 year old male was found to have horseshoe kidney with multiple renal stones, hydronephrosis and pyelonephritis. Through IVP, RGP, ultrasonogram, renal scan and renal angiography, the diagnosis was made. This is a report of the good results gained by isthmectomy, partial nephrectomy, ureterolysis and nephropexy.It was compared with several literature reviews.
Adult ; Angiography ; Diagnosis ; Humans ; Hydronephrosis* ; Kidney Pelvis ; Kidney* ; Male ; Nephrectomy ; Pyelonephritis ; Ultrasonography

True hermaphroditism in which both ovarian and testicular tissues are present in same individual is a rare abnormality. Abnormal differentiation of external and internal genitalia is also observed. A total of 30O cases found in the literature by Niekerk, V.A. During exp1oratory surgery, testicular as well as ovarian tissues are found generally. Authors experienced one case of true hermaphroditism who had an ovotestis on the right gonad an ovary on the left with a karyotype of 46, XX and report this case with the review of literatures.
Disorders of Sex Development ; Female ; Genitalia ; Gonads ; Karyotype ; Ovary ; Ovotesticular Disorders of Sex Development*

OBJECTIVE: Approximately 15-20% of all clinically recognized pregnancies result in spontaneous abortion and 60-70% of these are attributable to detectable chromosome abnormalities. Although the incidence of first trimester losses is high, spontaneous abortion material is often poorly described from a development perspective. The purpose of this study was to determine the usefulness of transcervical embryoscopy in diagnosing localized and generalized defects in the embryonic morphogenesis of missed abortions. The embryoscopic findings are supplemented by the results of cytogenetic analysis in all cases. METHODS: In this study, consisted of 26 women with the final diagnosis of missed abortion between August 1, 2003 and October 31, 2003 in Samsung Cheil Hospital. Prior to the instrumental evacuation of the uterus a rigid hysteroscope was passed transcervically into the amniotic cavity to obtain a detail view of the embryo. Karyotyping was done in all cases included in this study. RESULTS: Visualization of embryo or early fetus was successful in 24 cases. Among 24 examined cases, 21 cases had successful karyotype and as a result 11 (11/21, 52.4%) had abnormal karyotype. Among 21 cases which had successful karyope, 4 (4/21, 19.0%) had normal external features, 10 (10/21, 47.6%) had classified as growth-disorganized and 7 (7/21, 33.3%) had either isolated or multiple defects, including facial dysplasia, delayed limb development, facial fusion to chest, umbilical cyst, brownish discoloration of ventral part and increased nuchal thickness. Of the morphologically normal and growth-disorganized embryo in embryoscopic examination, only 1 and 4 (1/4, 25.0% and 4/10, 40.0%) had a abnormal karyotype. In contrast, of the morphologically abnormal embryo in embryoscopic examination, 5 (5/7, 71.4%) had a abnormal karyotype. CONCLUSION: Transcervical embryoscopy permits visualization of the embryo in utero, unaffected by the damage usually caused by its instrumental evacuation or spontaneous passage. This technique can be a helpful tool for understanding human embryonic malformations and genetic counseling for parents. Futhermore, correlation of morphological and cytogenetic findings in spontaneous abortion specimens could provide the need of further evaluation for future pregnancies in couples which had fear of repeated abortions. But, more larger scaled controlled study is needed for widely use of transcervical embryoscopy in missed abortion.
Abnormal Karyotype ; Abortion, Missed* ; Abortion, Spontaneous ; Chromosome Aberrations ; Cytogenetic Analysis ; Cytogenetics ; Diagnosis ; Embryonic Structures ; Extremities ; Family Characteristics ; Female ; Fetoscopy* ; Fetus ; Genetic Counseling ; Humans ; Hysteroscopes ; Incidence ; Karyotype ; Karyotyping ; Morphogenesis ; Parents ; Pregnancy ; Pregnancy Trimester, First ; Thorax ; Urachal Cyst ; Uterus