Hemangioma in the urinary tract is a very rare benign tumor that usually causes painless or painful gross hematuria. Its preoperative diagnosis is extremely difficult or even impossible. A female 47-year old patient presented with painless gross hematuria that she'd experience for 4 days. The patient underwent abdominal ultrasound, intravenous pyelography (IVP), cystoscopy, urine cytology, retrograde pyelography (RGP), kidney dynamic computed tomography (CT) and surgical excision. She was finally diagnosed with cavernous hemangioma in the renal pelvis.
Female ; Humans ; Hemangioma

Hemangioma in the urinary tract is a very rare benign tumor that usually causes painless or painful gross hematuria. Its preoperative diagnosis is extremely difficult or even impossible. A female 47-year old patient presented with painless gross hematuria that she'd experience for 4 days. The patient underwent abdominal ultrasound, intravenous pyelography (IVP), cystoscopy, urine cytology, retrograde pyelography (RGP), kidney dynamic computed tomography (CT) and surgical excision. She was finally diagnosed with cavernous hemangioma in the renal pelvis.
Female ; Humans ; Hemangioma

The differential diagnosis for women presenting with chronic genitourinary symptoms is extensive. Urethral diverticulum has long been thought to be responsible for these symptoms in some women. Although the etiology of urethral diverticulum in women is unclear, a number of different theories have been advanced for the formation of diverticula including either a congenital or acquired etiology. A few cases of acquired urethral diverticulum have been reported that resulted from endometriosis; however, there have been no such cases reported in Korea. We recently treated a 58-year-old woman who presented with complaints of a protruding mass through the vaginal wall. A diagnosis of urethral diverticulum secondary to endometriosis was finally made. The patient underwent surgical repair. Here we report this case and review the medical literature.
Diagnosis, Differential ; Diverticulum ; Endometriosis ; Female ; Humans ; Korea ; Middle Aged ; Urethra

Recently, self-contained underwater breathing apparatus (SCUBA) diving's popularity has been increasing tremendously. Most diving injuries are related to the behavior of the gas and to pressure changes during descent and ascent. A scuba diver at depths greater than 7 m may accumulate a tissue partial presure of nitrogen large enough that, on ascent to the surface, nitrogen exist the tissues rapidly, forming bubbles in the blood and other organs, which is known as decompression sickness (DCS). Although both of these bubble disorders can, in theory, cause injury to skeletal muscles (rhabdomyolysis), the case are report here demonstrates the potential for massive muscle necrosis after scuba diving. We report a case of rhabdomyolysis presented with general weakness after scuba diving.
Acute Kidney Injury ; Decompression Sickness ; Diving* ; Muscle, Skeletal ; Necrosis ; Nitrogen ; Respiration ; Rhabdomyolysis*

No abstract available.
Acute Kidney Injury ; Frostbite* ; Renal Dialysis ; Rhabdomyolysis*

PURPOSE: Emergency department visits for acute allergic reactions are common. However, relatively little is known about the characteristics of patients who visit the emergency department for such reactions. We undertook this study to evaluate the frequency, the cause, the severity, the treatment and the prognosis of patients admitted for allergic reactions to a college hospital in a city. METHODS: We studied 724 patients visiting two emergency departments of college hospitals during the years 2002-2003. Clinical symptoms involved pruritus, dyspnea, hoarseness, nausea, vomiting, abdominal pain, diarrhea, dizziness, and seizure. Physical examinations involved vital signs, urticaria, rash, local edema, angioedema, rhinitis/conjunctivitis, wheezing, stridor, cyanosis, and laryngeal edema. We divided the causative agents into drugs, insects, foods, and others. We classified the treatments of the allergic reaction as antihistamines, corticosteroids, epinephrine, oxygen, and hydration. We divided patients into mild, moderate, and severe acute hypersensitivity groups. RESULTS: In order of frequency, clinical symptoms were pruritus (88.1%), urticaria (72.4%), rash (68.9%), local edema (11.7%), etc. The causative agents were foods (53.0%), unknown origin (29.1%), insects (11.0%), and drugs (6.8%). Antihistamine, corticosteroid, epinephrine were injected in 93.4%, 89.1%, 2.3% of the patients, respectively. The mild, moderate, and severe groups were 87%, 9.8%, and 3.2% of the patients, respectively. CONCLUSION: For patients with allergic symptoms visiting to the university-affiliated teaching hospitals in a small city, foods were the major causative agent, but drugs and insects provoked more severe allergic reactions.
Abdominal Pain ; Adrenal Cortex Hormones ; Anaphylaxis ; Angioedema ; Cyanosis ; Diarrhea ; Dizziness ; Dyspnea ; Edema ; Emergencies* ; Emergency Service, Hospital* ; Epinephrine ; Exanthema ; Histamine Antagonists ; Hoarseness ; Hospitals, Teaching ; Humans ; Hypersensitivity* ; Insects ; Laryngeal Edema ; Nausea ; Oxygen ; Physical Examination ; Prognosis ; Pruritus ; Respiratory Sounds ; Seizures ; Urticaria ; Vital Signs ; Vomiting