Internal hernia is an unusual cause of the intestinal obstruction. The advances of CT make the diagnosis more easier than in the past. We report one case of internal hernia with herniation of the ileum into the lesser omenturn. The diagnosis could be made when abdominal radiographs showed fixed clustering of the small bowel loops in upper abdomen medial to the stomach. CT and ultrasound showed characteristic interposition of the ileum between the left hepatic lobe and the stomach.
Abdomen ; Diagnosis ; Hernia* ; Ileum ; Intestinal Obstruction ; Stomach ; Ultrasonography

Angiogenesis, the induction of new capillaries and venules, is associated with tumor growth. This study was designed to determine whether cervical carcinomas are angiogenic, and to investigate whether tumor angiogenesis can serve as a prognostic factor in cervical carcinoma. Surgical specimens of 47 cervical carcinomas were immunohistochemically stained specifically for endothelial cells with factor VIII-related antigen to identify all vessels. Microvessels were counted from photographs of 200x microscopic fields. In addition, thirty-seven cases were studied by immunohistochemical means using the monoclonal antibodies for PCNA and for Ki-67 to determine tumor cell proliferation rates in cervical carcinomas. The microvessel count(MVC), the PCNA labelling index, and the Ki-67 index were calculated and compared with known prognostic factors and disease free survival rates in cervical carcinomas. A wide range in the MVC count(range 12-100 mean=38.2+/-19.2), the PCNA labeling index(8-69% mean=33.6+/-15.2%), and in the extent of Ki-67 staining(0-43% mean=10.3+/-10.5%) was observed, indicating considerable variation of tumor angiogenic activity and tumor growth rates. This study showed statistically significant correlations in disease free survival rates with both lymph node status and the microvessel count. However, there was no significant difference in disease free survival rates between tumor stage, age, the PCNA labelling index, and the Ki-67 index.
Antibodies, Monoclonal ; Capillaries ; Cell Proliferation ; Cervix Uteri* ; Disease-Free Survival ; Endothelial Cells ; Female ; Lymph Nodes ; Microvessels ; Proliferating Cell Nuclear Antigen ; Venules ; von Willebrand Factor

Intravascular papillary endothelial hyperplasia is a benign solitary turnor that may be histologically misdiagnosed as angiosarcoma. We present herein a case of intravascular papillary endothelial hyperplasia occuring in 40-year-old female who hsd a slowly growing tumor on the tongue for 3 years. the histopathologic findings revealed. papillary endothelial hyperplasia in blood vessel accompanied with thrombi.
Adult ; Blood Vessels ; Female ; Hemangiosarcoma ; Humans ; Hyperplasia* ; Tongue*

We reviewed two cases of keratosis punctata palmaris et plantaris(KPP) and the scanning electron microscopic findings(SEM). The skin lesions of KPP are multiple, hyperkeratotic on the palms and soles with central pitting. There was no subjective symptoms. The histologic findigs revea,l marked hyperkeratosis, hypergranulosis, and acanthosis with depression of the underlying malpighian layers. The SEM findings reveal one hyperkeratoic plug on punctate lesion(case I ) and three hyperkeratotic plugs on depression of the malpighian layer(case ll ).
Depression ; Keratoderma, Palmoplantar* ; Keratosis* ; Skin

For the purpose of epidemiologic study, the patients who visited Severance Hospital Behcet's Syndrome Specialty Clinic were grouped by Shimizu classification into the complete, incomplete, suspected types and evaluated. The results of the evaluation with respect to personal characteristics, geographic distribution, socioeconomic characteristics, family history, and clinical characteristics are as follows. 1. The incidence among the subgroups was incomplete type(46.3%), suspected type(36.7%), complete type(17.0%) and the male to female ratio was 0.60: 1, and the average age of onset was 29.1. years for males and 27.6 years for females. 2. The occupational distribution among males included office workers, 31.5%; drivers, 10.6% and among females was office workers, 6.7%; teachers, 3. 7 %; unemployed, 81.7%. 3. Among the presumed aggrevating factors affecting oral cavity, recurrent tonsillitis(20.8%) was most common, and premenstrual exacervation(12.8%) was most common. 4. The most common initial major manifestation was oral ulcer(80.6%), and the longest duration of major manifestations was oral ulcer(average 6.4 years), and the most frequent relapse of major manifestations was oral ulcer(average 14.6 times/year). 5. The average duration between the appearance of the first and second major manifestations was 5.2 years for complete type, 6.3 years for incomplete type, and 6.6 years for suspected type. 6. Combinations of major manifestations most commonly included oral ulcer, genital ulcers and skin lesions(65.3%) for incomplete type, and oral ulcer, skin lesion(54.8%) for suspected type.
Age of Onset ; Behcet Syndrome* ; Classification ; Epidemiologic Studies ; Family Characteristics ; Female ; Humans ; Incidence ; Male ; Mouth ; Oral Ulcer ; Recurrence ; Skin ; Ulcer

PURPOSE: The purpose of this study is to assess the sonographic findings of Osgood-Schlatter disease with correlation to radiographic findings and to determine value of sonography in the diagnosis of Osgood-Schlatter disease. MATERIALS AND METHODS: The population consist of 22 cases of Osgood-Schlatter disease and 15 healthy subjects of the same age range for comparison. The sonographic study was carried out with real time units equipped with linear probe of 7 MHz frequency. Radiography and sonography were done in all cases and follow-up sonography was performed in 10 cases. RESULTS: The sonographic features of the Osgood-Schlatter disease were swelling of cartilage over the anterior tibial tuberosity ossification center in 16 cases, fragmentation and/or irregularities of the ossification center of the anterior tibial tuberosity in 14 cases, localized thickening of the pateliar tendon in 14 cases, ossicles in the thickened pateliar tendon in 3 cases, and distension of the infrapatellar bursa in 2 cases. Fifteen of 22 cases of Osgood-Schlatter disease had abnormal findings on radiographs and sonograms. Out of 7 cases which had normal radiograph and abnormal findings on sonogram, 6 cases showed pateliar tendon thickening, cartilage swelling, and/or distended infrapatellar bursa and one case showed fragmentation of anterior tibial tuberosity on sonogram. CONCLUSION: Sonographic evaluation of Osgood-Schlatter disease provided a clear picture about pathologic changes in the superficial soft tissues and in the cartilage and also yielded the same diagnostic information on bony change as radiography Sonography is a reliable and useful method for the evaluation of young patients with clinically suspected Osgood-Schlatter disease.
Cartilage ; Diagnosis* ; Follow-Up Studies ; Humans ; Osteochondrosis* ; Radiography ; Tendons ; Ultrasonography*

PURPOSE: The purpose of this study is to assess the sonographic findings of Osgood-Schlatter disease with correlation to radiographic findings and to determine value of sonography in the diagnosis of Osgood-Schlatter disease. MATERIALS AND METHODS: The population consist of 22 cases of Osgood-Schlatter disease and 15 healthy subjects of the same age range for comparison. The sonographic study was carried out with real time units equipped with linear probe of 7 MHz frequency. Radiography and sonography were done in all cases and follow-up sonography was performed in 10 cases. RESULTS: The sonographic features of the Osgood-Schlatter disease were swelling of cartilage over the anterior tibial tuberosity ossification center in 16 cases, fragmentation and/or irregularities of the ossification center of the anterior tibial tuberosity in 14 cases, localized thickening of the pateliar tendon in 14 cases, ossicles in the thickened pateliar tendon in 3 cases, and distension of the infrapatellar bursa in 2 cases. Fifteen of 22 cases of Osgood-Schlatter disease had abnormal findings on radiographs and sonograms. Out of 7 cases which had normal radiograph and abnormal findings on sonogram, 6 cases showed pateliar tendon thickening, cartilage swelling, and/or distended infrapatellar bursa and one case showed fragmentation of anterior tibial tuberosity on sonogram. CONCLUSION: Sonographic evaluation of Osgood-Schlatter disease provided a clear picture about pathologic changes in the superficial soft tissues and in the cartilage and also yielded the same diagnostic information on bony change as radiography Sonography is a reliable and useful method for the evaluation of young patients with clinically suspected Osgood-Schlatter disease.
Cartilage ; Diagnosis* ; Follow-Up Studies ; Humans ; Osteochondrosis* ; Radiography ; Tendons ; Ultrasonography*

The eruptive collagenoma is a connective tissue nevus without family history. We report a case of eruptive collagenoma in a 5 year old boy, who had multiple, variable sized orange colored nodules on his back since birth. The histopathologic finding showed increased number and size of collagen fiber and increased dermal thickness.
Child, Preschool ; Citrus sinensis ; Collagen ; Connective Tissue ; Humans ; Male ; Nevus ; Parturition

BACKGROUND: Total obstruction of the left main coronary artery is a common cause of sudden death but is rarely seen in patients who survive to undergo diagnostic evaluation or treatment. METHODS: During twenty six-year period, we encountered 5 patients with chronic total obstruction of the left main coronary artery out of about 4,000 patients who underwent coronary angiography. RESULTS: All patients have undergone coronary bypass surgery. These patients present with increasingly severe angina. A right dominat coronary anatomy is always found, usually with well-developed right-to-left collaterals. Left ventricular function was severely impaired in two patients out of five patients. CONCLUSIONS: The results of surgical revascularization in our patients and others described in the literature can support the safety and efficacy of this approach.
Coronary Angiography ; Coronary Vessels* ; Death, Sudden ; Humans ; Ventricular Function, Left

Acupuncture with gold needle insertion is utilized in Oriental medicine, and the effect of therapy is represented by anti-inflammatory and analgesic function, But sometimes the needle is erroneously inserted into abdominal organs, and then it may cause dangerous complications. We report a case of multiple gold needles in the abdominal organs without having definete clinical symptoms.
Acupuncture* ; Medicine, East Asian Traditional ; Needles* ; Radiography*