Leiomyoma of the vulva is rare neoplasm. It is usually located in the labium majors and in the area of the Batholin gland. We experienced two cases of leiomyoma around urethral meatus which displaced urethra. So we report cases with review of literature.
Leiomyoma* ; Urethra* ; Vulva*

Hydrothorax is an uncommon but a well-recognized complication of peritoneal dialysis, and is estimated at 1.6-10%. It is not a life-threatening condition, but massive hydrothorax (so called 'tension hydrothorax') has been documented rarely. We report an autopsy case showing the right-sided hydrothorax associated with peritoneal dialysis. A 27-year-old man who had suffered chronic renal failure and peritoneal dialysis, was found dead in his room. At autopsy, there were about 3 liters of clear transudate in the right pleural cavity and the right lung was collapsed. The biochemical study of the pleural fluid showed 266 mg/dL of glucose.
Adult ; Autopsy ; Exudates and Transudates ; Glucose ; Humans ; Hydrothorax ; Kidney Failure, Chronic ; Lung ; Peritoneal Dialysis ; Pleural Cavity

OBJECTIVES: This study was conducted to examine the relationships between muscle mass and hand strength in elderly people. METHODS: The study subjects were 659 volunteers aged older than 65 in Jejudo, south Korea. The anthropometric information such as weight, body mass index (BMI) and muscular mass was collected by the body composition analyzer. The hand strength was obtained by the digital grip dynamometer. The fasting blood sugar index called as potential diabetes mellitus (DM) was defined as the condition over 120 mg/dL of the blood sugar. The BMI was classified into under 23, 23-25 and over 25 to analyze the relationships of BMI and muscle mass, hand strength. RESULTS: The factors affecting muscle mass were sex (p<0.001), age (p<0.001) and BMI (p<0.001). The factors affecting hand strength were sex (p<0.001), age (p<0.001) and BMI (p=0.003). And there was a weak association between muscle mass and hand strength after controlling with the affected factors (r2=0.15, p<0.001). CONCLUSIONS: The hand strength is weekly correlated with the muscle mass. So we recommend to use digital grip dynamometer combining with other measurements for diagnosis the sarcopenia in epidemiologic study.
Aged* ; Blood Glucose ; Body Composition ; Body Weight ; Diabetes Mellitus ; Diagnosis ; Epidemiologic Studies ; Fasting ; Hand Strength* ; Humans ; Jeju-do* ; Korea ; Muscle, Skeletal ; Sarcopenia ; Statistics as Topic ; Volunteers

In Korea, small octopus (Octopus minor) and webfoot octopus (Octopus ocellatus) are food items and fatal laryngeal choking due to ingestion of live octopus is not uncommon. We recently encountered two autopsy cases of accidental choking on small octopus and webfoot octopus. Case 1 involved a 58-year-old fisherman who ingested two live webfoot octopuses in his fishing boat and collapsed. He was immediately taken to the hospital but died. During autopsy, one of the webfoot octopuses was found between his pharynx and esophagus; it was obstructing the epiglottis and upper esophagus. His blood alcohol concentration was 0.140%. Case 2 involved a 55-year-old man who ingested an intact body part of a small octopus and was found dead in his house. He had a history of cerebral infarction and angina pectoris. During autopsy, an intact body part of the small octopus was found to be lodged in the laryngeal inlet.
Airway Obstruction ; Angina Pectoris ; Autopsy ; Bays ; Blood Alcohol Content ; Cerebral Infarction ; Eating ; Epiglottis ; Esophagus ; Humans ; Korea ; Larynx ; Middle Aged ; Octopodiformes ; Pharynx ; Ships

In Korea, small octopus (Octopus minor) and webfoot octopus (Octopus ocellatus) are food items and fatal laryngeal choking due to ingestion of live octopus is not uncommon. We recently encountered two autopsy cases of accidental choking on small octopus and webfoot octopus. Case 1 involved a 58-year-old fisherman who ingested two live webfoot octopuses in his fishing boat and collapsed. He was immediately taken to the hospital but died. During autopsy, one of the webfoot octopuses was found between his pharynx and esophagus; it was obstructing the epiglottis and upper esophagus. His blood alcohol concentration was 0.140%. Case 2 involved a 55-year-old man who ingested an intact body part of a small octopus and was found dead in his house. He had a history of cerebral infarction and angina pectoris. During autopsy, an intact body part of the small octopus was found to be lodged in the laryngeal inlet.

In patients with coronary artery disease, coronary stenting with a drug-eluting stent (DES) is associated with lower rates of in-stent restenosis and re-surgery for the target lesion compared with a bare metal stent, while late stent thrombosis has emerged as a life-threatening complication in patients treated with a first-generation DES. As no treatment has been established for potentially fatal late stent thrombosis associated with a first-generation DES, we perform drug balloon angioplasty for patients with stent thrombosis and in-stent restenosis associated with DES. Here, we reported the cases with normal coronary artery flow after a 2-year follow-up.
Angioplasty, Balloon* ; Constriction, Pathologic* ; Coronary Artery Disease ; Coronary Vessels ; Drug-Eluting Stents* ; Follow-Up Studies ; Humans ; Stents* ; Thrombosis

The death caused by a hand grenade detonation is extremely uncommon and specialized event in Korea cause that it used in military fields, and these cases are only investigated by CIC (Criminal Investigation Command) of ROK Army. The hand grenade is small, light weighted anti-human explosive, so it uses widely than other explosive objects. The morphological characteristics seeing in victim by hand grenade detonation are very variable according to position, distance of explosion, type of grenade, environmental effects, and so many others. We performed retrospective analysis of 23 cases of death by hand grenade in ROK Army from 1990 to 2008. These cases are classified by direction and position of wounds, injuries of external and internal organs. Most of all are contact or near contact range detonation, and the focus of detonation is suggested anterior chest wall mostly. Amputations or critical wounds are mostly located on hand, arm, anterior chest, but wounds of dorsal portion is relatively rare. Most of all are suggested to detonate grenade in standing or straightened-arm position. Internal organ damages, such as hemothorax, hemoperitoneum, hemopericardium by detonation pressure or penetration by fragments, are seen in 75% cases of all, and the organs are mostly heart, lung and other hollow organs. External examination may fail to show fatal external damage or wound. The data of this analysis would be used as adjunctive and objective examples of investigation of death by hand grenade in Korea.
Amputation ; Arm ; Explosions ; Hand ; Heart ; Hemoperitoneum ; Hemothorax ; Homicide ; Humans ; Korea ; Light ; Lung ; Military Personnel ; Pericardial Effusion ; Retrospective Studies ; Suicide ; Thoracic Wall ; Thorax

We report the case of a 42-year-old woman who died in hospital from severe respiratory failure, 10 days after the onset of symptoms. Autopsy and microscopic examination identified features of diffuse alveolar damage in both lungs including hyaline membranes and intra-alveolar exudate. Gomori's methenamine silver stain of pink frothy materials in these exudates revealed thin-walled and cup-shaped microorganisms and a diagnosis of Pneumocystis jirovecii pneumonia was made. There were small granulomas in the pulmonary interstitium and hepatic lobules representing an unusual inflammatory reaction against Pneumocystis jirovecii. Extrapulmonary involvement with pneumocystis infection is a rare event occurring in 1% to 2% of all pneumocystis cases. Screening and confirmatory tests for human immunodeficiency virus (HIV) detection were positive. There was no information available regarding the patient's medical history or the possibility of HIV infection prior to the autopsy, because the patient was a foreign worker who arrived in Korea 2 months before her death. Medical examiners often perform autopsies with limited information regarding the deceased person, even when person is a Korean national. Therefore, an awareness of protection protocols during autopsy, as well as of the atypical patterns of critical diseases, is crucial.
Adult ; Autopsy* ; Coroners and Medical Examiners ; Diagnosis ; Exudates and Transudates ; Female ; Granuloma ; HIV ; HIV Infections ; Humans ; Hyalin ; Korea ; Liver* ; Lung* ; Mass Screening ; Membranes ; Methenamine ; Pneumocystis Infections ; Pneumocystis jirovecii* ; Pneumocystis* ; Pneumonia* ; Pneumonia, Pneumocystis ; Respiratory Insufficiency

Transmesenteric hernia is so infrequent that sudden unexpected death due to this condition is a very rare occurrence. Because the disease usually occurs in pediatric populations, it is a very rarely observed in adolescents or adults. We report an autopsy case of transmesenteric hernia diagnosed postmortem in an 18-year-old boy who died suddenly after complaining of acute abdominal pains with nausea. Physical examinations, simple abdominal radiographs, and abdominal CT scans failed to provide a clear diagnosis of the illness for 37 h in the hospital. At autopsy, a small round defect of the small bowel mesentery was found, through which a long segment of the small intestine herniated, accompanied by hemorrhagic infarction induced by strangulation obstruction. We would like to present and review this rare autopsy case with medicolegal viewpoints.
Abdominal Pain ; Adolescent ; Adult ; Autopsy ; Death, Sudden ; Hernia ; Humans ; Infarction ; Intestine, Small ; Mesentery ; Nausea ; Physical Examination

No abstract available.
Anesthesia ; Humans ; Piperidines ; Transplants