1.Appendiceal Mucocele with Lower Gastrointestinal Bleeding.
Jong Soo KIM ; Joon Seong LEE ; Seong Won CHO ; Chan Sup SHIM ; Jae Joon KIM ; Hee YOO ; Dong Hwa LEE
Korean Journal of Gastrointestinal Endoscopy 1987;7(1):59-63
The appendiceal mucocele is very rare disease of 0.2% incidence. About 24% of patients are asymptomatic and symptomatic patients present with pain in the right lower quadrant of abdomen in 64%, plapable maas in the right lower quadrant of abdomen in 50%, and rarely, melena, hematochezia, anemia, diarrhea, malaise, and abdominal distension. The gastrointestinal bleeding may be presented in the patient with intussusception, but the massive bleeding is generally absent. We report a case of appendiceal mucocele accompanying with gastrointestinal bleeding and review of literature.
Abdomen
;
Anemia
;
Diarrhea
;
Gastrointestinal Hemorrhage
;
Hemorrhage*
;
Humans
;
Incidence
;
Intussusception
;
Melena
;
Mucocele*
;
Rare Diseases
2.Concurrent Malignant Lymphoma of the Colon and Small Bowel as the Primary Origin.
Joon Seong LEE ; Seong Won CHO ; Chan Sup SHIM ; Jae Joon KIM ; Hee YOO ; Dong Hwa LEE
Korean Journal of Gastrointestinal Endoscopy 1987;7(1):53-57
Primary gastrointestinal lymphoma primarily confined to gastrointestinal tract is relatively rare diaease. Although the lymphoma primarily involved colorectum or small bowel was commonly reported than primary gastric lymphoma in Korea, the concurrent primary lymphoma of colon and small bowel is very rare in reported cases. We report a case of combined primary malignant lymphoma of the jejunum and cecum, who was admitted due to melena and anemia. She had right hemicolectomy and end-to-side ileotransverse colostomy at 2 months ago, due to primary colon lymphoma. The laparotomy was performed and identified hard, 2 x 3 cm sized masses on distal 25 cm, 80 cm and 150 cm from the Treitz ligament. The histology of these small ma showed histiocytic lymphoma as same as cecal specimen. In general, the small bowel lymphoma shaws poor prognosis than gastric or colorectal lymphoma due to diffieulty in diagnosis and late symptoms, but this problem could be resolved through the knowledge about primary gastrointestinal lymphoma and the development of diagnostic methods.
Anemia
;
Cecum
;
Colon*
;
Colostomy
;
Diagnosis
;
Gastrointestinal Tract
;
Jejunum
;
Korea
;
Laparotomy
;
Ligaments
;
Lymphoma*
;
Lymphoma, Large B-Cell, Diffuse
;
Melena
;
Prognosis
3.Effect of Ischemic Preconditioning on Myocardial Protection: A Comparative Study between Normothermic and Moderate Hypothermic Ischemic Hearts Induced by Cardioplegia in Rats.
Seong Joon CHO ; Jae Joon HWANG ; Hark Jei KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2003;36(4):242-254
BACKGROUND: Most of the studies conducted have investigated the beneficial effects of ischemic preconditioning on normothermic myocardial ischemia. However, the effect of preconditioning could be attenuated through the use of multidose cold cardioplegia as practiced in contemporary clinical heart surgical procedures. The purpose of this study was to investigate whether preconditioning improves postischemic cardiac function in a model of 25 degrees C moderate hypothermic ischemic heart induced by cold cardioplegia in isolated rat hearts. MATERIAL AND METHOD: The isolated Sprague-Dawley rat hearts were randomly assigned to four groups. All hearts were perfused at 37 degrees C for 20 minutes with Krebs-Henseleit solution before the baseline hemodynamic data were obtained. Group 1 consisted of preconditioned hearts that received 3 minutes of global ischemic preconditioning at 37 degrees C, followed by 5 minutes of reperfusion before 120 minutes of cardioplegic arrest (n=6). Cold (4 degrees C) St. Thomas Hospital cardioplegia solution was infused to induce cardioplegic arrest. Maintaining the heart at 25 degrees C, infusion of the cardioplegia solution was repeated every 20 minutes throughout the 120 minutes of ischemic period. Group 2 consisted of control hearts that underwent no manipulations between the periods of equilibrium and 120 minutes of cardioplegic arrest (n=6). After 2 hours of cardioplegic arrest, Krebs solution was infused and hemodynamic data were obtained for 30 minutes (group 1, 2: cold cardioplegia group). Group 3 received two episodes of ischemic preconditioning before 30 min of 37 degrees C normothermic ischemia and 30 minutes of reperfusion (n=6). Group 4 served as ischemic controls for group 3 (group 3, 4: warm ischemia group). RESULT: Preconditioning did not influence parameters such as left ventricular systolic pressure (LVSP), left ventricular end-diastolic pressure (LVEDP), rate-pressure product (RPP) and left ventricular dp/dt (LV dp/dt) in the cold cardioplegia group. (p=NS) However, preconditioning before warm ischemia attenuated the ischemia induced cardiac dysfunction, improving the LVSP, LVEDP, RPP, and LVdp/dt. Less leakage of CPK and LDH were observed in the ischemic preconditioning group compared to the control group (p<0.05). CONCLUSION: Ischemic preconditioning improved postischemic cardiac function after warm ischemia, but did not protect cold cardioplegic hearts.
Animals
;
Blood Pressure
;
Cardiac Surgical Procedures
;
Heart Arrest, Induced*
;
Heart*
;
Hemodynamics
;
Ischemia
;
Ischemic Preconditioning*
;
Myocardial Ischemia
;
Rats*
;
Rats, Sprague-Dawley
;
Reperfusion
;
Warm Ischemia
4.Treatment of Prolonged Air-leak after Bilobectomy by Artificial Pneumoperitoneum.
The Korean Journal of Thoracic and Cardiovascular Surgery 2002;35(12):902-905
Pulmonary resection often leaves a pleural space problem that can cause prolonged air leaks. We describe a patient with lung cancer undergoing a right middle and lower lobectomy complicated by prolonged air leaks. He had a history of pulmonary tuberculosis and COPD. Artificial pneumoperitoneum was made by instillation of air via a small central vein catheter into the left lower quadrant on postoperative day(POD) 21. The air leak ceased on POD 23 and the chest tube was removed on POD 25.
Catheters
;
Chest Tubes
;
Humans
;
Lung Neoplasms
;
Pneumoperitoneum
;
Pneumoperitoneum, Artificial*
;
Pulmonary Disease, Chronic Obstructive
;
Tuberculosis, Pulmonary
;
Veins
5.A Case of Relapsing Polychondritis.
Young Gull KIM ; Jeong Hoon JANG ; Jong Seong AHN ; Kwang Hyun CHO ; Seok Joon PARK
Korean Journal of Dermatology 1999;37(5):676-678
Relapsing polychondritis is a rare inflammatory disorder affecting the cartilaginous structures throughout the body. Although there is no pathognomonic laboratory tests, clinical features, when coupled with histopathologic findings, enable one to make a diagnosis of relapsing polychondritis. A 26-year-old man presented with purplish, swollen, and tender auricles and injected eyes. His symptoms had developed eight months ago and fluctuated irrespective of various medications such as corticosteroids and antibiotics. Histopathologic examination revealed loss of basophilic staining of the cartilage with some dissolution of its structures. Treatment was initiated with dapsone, However, the remission was too immediate to be considered as a effect of dapsone.
Adrenal Cortex Hormones
;
Adult
;
Anti-Bacterial Agents
;
Basophils
;
Cartilage
;
Dapsone
;
Diagnosis
;
Humans
;
Polychondritis, Relapsing*
6.A clinical review of femoral abduction osteotomy in Legg-CalvePerthes disease.
Duk Yong LEE ; In Ho CHOI ; Chin Youb CHUNG ; Tae Joon CHO ; In Ho SEONG
The Journal of the Korean Orthopaedic Association 1991;26(2):598-608
No abstract available.
Osteotomy*
7.A Case of Subcutaneous Fat Necrosis of Newborn (SCFNN) Associated with Meconium Aspiration Syndrome.
Seong Uk MIN ; Young Joon CHO ; Jin A LEE ; Soyun CHO
Korean Journal of Dermatology 2006;44(2):206-208
Subcutaneous fat necrosis of newborn (SCFNN) is a rare disease. Characteristically, full-term infants with associated perinatal problems such as hypoxia, hypothermia, and obstetric trauma are affected in the first week of life. We report a case of SCFNN, which presented as an erythematous subcutaneous mass on the back of a male neonate who suffered from meconium aspiration pneumonia with neonatal sepsis.
Anoxia
;
Humans
;
Hypothermia
;
Infant
;
Infant, Newborn*
;
Male
;
Meconium Aspiration Syndrome*
;
Meconium*
;
Necrosis*
;
Pneumonia
;
Rare Diseases
;
Sepsis
;
Subcutaneous Fat*
8.Video-Assisted Thoracic Surgery for Pulmonary Endometriosis: Report of 1 Case.
Seong Joon CHO ; Se Min RHYU ; Woo Jin KIM ; Seung Joon LEE ; Yeon Soo KIM
Tuberculosis and Respiratory Diseases 2006;60(5):576-580
Pulmonary endometriosis is an uncommon disease, and usually detected by catamenial hemoptysis. Treatment of pulmonary endometriosis may be medical(hormone therapy) or surgical. Since hormone therapy may cause sterility, most of patients who wish to conceive usually choose surgical resection. Although video-assisted thoracic surgery(VATS) has advantage of small scar, reducing postoperative pain and shortening hospital stay, it is not easy to locate the precise lesion and resect whole endometrial tissue not to be remained. 17 years old female with catamenial hemoptysis was treated sucessfully with a partial resection of the lung using VATS, and has been asymptomatic for 7months since the operation.
Adolescent
;
Cicatrix
;
Endometriosis*
;
Female
;
Hemoptysis
;
Humans
;
Infertility
;
Length of Stay
;
Lung
;
Pain, Postoperative
;
Thoracic Surgery, Video-Assisted*
9.Bronchoscopic Treatment of a Bronchopleural Fistula with using Coils and Fibrin Glue: A case report.
The Korean Journal of Thoracic and Cardiovascular Surgery 2007;40(9):648-650
Bronchopleural fistula (BPF) is relatively rare, but it has high morbidity and mortality rates and it is associated with a prolonged hospital stay and high costs. Surgical treatment is the treatment of choice, but other minimal invasive forms of conservative management, and particularly bronchoscopy, have recently been investigated. We report here on the bronchoscopic treatment of a bronchopleural fistula accompanied necrotizing pneumonia, and we used coils and fibrin glue to treat the fistula.
Bronchi
;
Bronchoscopy
;
Fibrin Tissue Adhesive*
;
Fibrin*
;
Fistula*
;
Length of Stay
;
Mortality
;
Pleural Diseases
;
Pneumonia
10.A Case of Leiomyosarcoma in Stomach.
Joon Seong LEE ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM ; Hee YOO ; Dong Wha LEE
Korean Journal of Gastrointestinal Endoscopy 1988;8(1):39-43
Leiomyosarcomas of the stomach are unusual tumors, accounting for 1% to 3% of all malignant tumors and 17% to 20% of all smooth muscle tumors of the stomach. It is difficult to diagnosis these tumors preoperatively because of its vague symptoms and signs or producing symptoms only late. Despite their rarity and difficulty in diagnosis, thier diagnosis is important due to more favorable prognosis aasociated with these tumors than that of gastric carcinoma. Recently, endoscopy is being used with increasing frequency, but because these are submucosal lesions the diagnosis of thease tumors cannot be easily made through the endoscope. We experienced a case of relatively full-brown leiomyosarcoma in gastric fundus. Endoscopy showed 6x6cm sized, definite margined, protruding mass on gastric fundus, with central deep ulceration coated with blood clots. The mucosa overlying the mass was intact, smoothly effaced and the bridging fold was also visible. Postoperative ultrasound showed large protruding mixed echogenic solid mass with contral deep excavation due to ulcer, and intact serosa, so suggestive of endogastric tumor. We believed endoscopy combined with endoscopic ultrasound is probably useful method in early diagnosis of gastric submucosal tumors, especially exogastric type or early small tumors
Camellia
;
Diagnosis
;
Early Diagnosis
;
Endoscopes
;
Endoscopy
;
Gastric Fundus
;
Leiomyosarcoma*
;
Mucous Membrane
;
Prognosis
;
Serous Membrane
;
Smooth Muscle Tumor
;
Stomach*
;
Ulcer
;
Ultrasonography