1.Minocycline Hydrochloride Sclerotherapy of Renal Cysts.
Hun SEONG ; Tae Beom KWEON ; Hack Jin KIM ; Kyung Jae JANG ; Byung Hee CHUN ; Se Kweon SHIN
Journal of the Korean Radiological Society 1994;31(2):351-354
PURPOSE: To report the effectiveness of Minocin sclerotherapy in the treatment of renal cysts. MATERIALS AND METHODS: We performed minocin sclerotherapy to 19 patients with 21 renal cysts composed of 17 cases of solitary renal cyst and three cases of multiple renal cyst and one case of polycystic kidney comfirmed by ultrasound and CT. After aspiration of cyst fluid, if the amount was less than 50ml, 500mg of minocin was mixed with 3ml of normal saline,if more than 50ml, 1000mg of minocin mixed with 5ml of normal saline were injected, and each case was followed-up over 3 months by ultrasound. RESULTS: Of all 21 renal cysts, 14 cases were followed-up three months after minocin sclerotherapy. In 12 of 14 cases, the size of the cysts decreased by 10% or collapsed completely. Of the remaining two cases, one collapsed after 6 months while the other recurred after 6months. Three cases were followed up after 20 months and only one of them recurred. 19 of all 21 cases(91%) were cured, and two of 21 cases(9%) were recurred. Pain was the only complaint. and four of 10'cases needed analgesics. CONCLUSION: Sclerotherapy with minocin has low recurrence-rate and low complication, and relatively early high cure-rate.
Analgesics
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Cyst Fluid
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Humans
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Minocycline*
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Polycystic Kidney Diseases
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Sclerotherapy*
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Ultrasonography
2.A case of hemocholecyst associated with hemobilia following radiofrequency ablation therapy for hepatocellular carcinoma.
Keun Young SHIN ; Jun HEO ; Ji Yeon KIM ; Sang Jik LEE ; Se Young JANG ; Soo Young PARK ; Min Kyu JUNG ; Chang Min CHO ; Won Young TAK ; Young Oh KWEON
The Korean Journal of Hepatology 2011;17(2):148-151
Radiofrequency ablation (RFA) is performed as an alternative to surgical resection for primary or secondary liver malignancies. Although RFA can be performed safely in most patients, early and late complications related to mechanical or thermal damage occur in 8-9.5% cases. Hemocholecyst, which refers to hemorrhage of the gallbladder, has been reported with primary gallbladder disease or as a secondary event associated with hemobilia. Hemobilia, defined as hemorrhage in the biliary tract and most commonly associated with accidental or iatrogenic trauma, is a rare complication of RFA. Here we report a case of hemocholecyst associated with hemobilia after RFA for hepatocellular carcinoma that was successfully managed by laparoscopic cholecystectomy.
Aged
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Carcinoma, Hepatocellular/*surgery
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Catheter Ablation/*adverse effects
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Cholangiopancreatography, Endoscopic Retrograde
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Cholecystectomy
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Gallbladder Diseases/*etiology/surgery/ultrasonography
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Hemobilia/diagnosis/*etiology/surgery
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Hemorrhage/*etiology
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Humans
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Liver Neoplasms/*surgery
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Male
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Tomography, X-Ray Computed