1.The intrahepatic biliary Cyst in Biliary Atresia after Kasai Operation.
Journal of the Korean Association of Pediatric Surgeons 1999;5(2):126-129
A 6(1/2)-year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst (4.5 x 4.0 cm in size) in the left hepatic lobe and another tubular dilatation (2.0 x 0.8 cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangio-drainage (PTCD) with cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring 6.6 x 5.0 cmin size. She became afebrile and anicteric with aid of PTCD and parenteral antibiotics. However she continued to drain 45-150 cc of bile per day via the tube for over 2 weeks. Then she successfully underwent intrahepatic cystojejunostomy with guidance of intraoperative ultrasonography. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, which was successfully managed with PTCD followed by internal drainage procedure.
Anti-Bacterial Agents
;
Bile
;
Biliary Atresia*
;
Cholangitis
;
Dilatation
;
Drainage
;
Female
;
Humans
;
Portoenterostomy, Hepatic
;
Ultrasonography
2.Recent 9-year Experience for Biliary Atresia with Introduction of a New Ultrasonographic Diagnosis.
Journal of the Korean Association of Pediatric Surgeons 2000;6(1):19-26
This paper includes our 9-year experience of 34 infants with biliary atresia with introduction of a new non-invasive diagnostic method, that is, ultrasonographic "triangular cord" (TC) sign. TC sign was defined as visualization of a triangular or a band-like echogenicity just cranial to the portal vein. Ultrasonographic TC sign seemed to be a simple, non-invasive, time-saving and useful tool in the diagnosis of biliary atresia, representing 84% sensitivity. Active bile excretion was restored in 90% of the patients who were treated between 31-60days, 78% of those between 61-90 days, and 33% of those being 91days or older. The incidence of postoperative cholangitis was 36%, and construction of antireflux valve in the Roux-en -Y loop did not affect the incidence of postoperative cholangitis (P=0.18). As for the surgical outcome, of 34 infants with biliary atresia, 23 (68%) are alive for 2-102 months period, and 12 of them are alive for more than 5 years . Five-year estimate survival by Kaplan-Meier method was 66 %.
Bile
;
Biliary Atresia*
;
Cholangitis
;
Diagnosis*
;
Humans
;
Incidence
;
Infant
;
Portal Vein
;
Ultrasonography
3.Familiar occurence of hypertrophic pyloric stenosis in two siblings born singly.
Journal of the Korean Surgical Society 1993;45(3):434-438
No abstract available.
Humans
;
Pyloric Stenosis, Hypertrophic*
;
Siblings*
4.Percutaneous catheter drainage of traumatic pancreatic pseudocyst in childhood.
Journal of the Korean Surgical Society 1993;45(5):741-748
No abstract available.
Catheters*
;
Drainage*
;
Pancreatic Pseudocyst*
5.Gd-DTPA Eenhanced IVIRI of the Cerebral Venous Angiomas: Cornparision with Cerebral Angiography.
Myung Soon KIM ; Hyun Ju PARK ; Ahn Young JOO
Journal of the Korean Radiological Society 1994;30(2):207-211
PURPOSE: The purpose of this study is to evaluate the gadolinium-enhanced MR imaging findings of cerebral venous angiomas, and to compare those findings with those of cerebral angiography. MATERIALS AND METHODS: We reviewed the findings of gadolinium-enhanced MR images of 11 cases with angiographically proved cerebral venous angiomas. We obtained Tl-and T2-weighted images with gadoliniumenhanced Tl-weighted images at a 0.5 T MR imager with a spin-echo technique. We analyzed the location and signal intensity of the lesion, pattern of contrast enhancement, the distribution of draining veins and medullary veins before and after contrast enhancement, and then compared with the findings of cerebral angiography. RESULTS: The characteristic central tubular signal void structure showed low signal intensity on Tl-weighted images and high signal intensity on T2-weighted images in all cases. After gadolinium enhancement, we could find a characteristic enhancement of all medullary and central veins in 7 cases. CONCLUSION: Gadolinium-enhanced MR image was useful in the diagnosis of venous angiomas especially in the detection of medullary veins. The invasive cerebral angiography could be replaced by this technique in this disease.
Central Nervous System Venous Angioma*
;
Cerebral Angiography*
;
Diagnosis
;
Gadolinium
;
Gadolinium DTPA*
;
Hemangioma
;
Magnetic Resonance Imaging
;
Veins
6.Primary segmental volvulus of the ileum mimicking meconium plug syndrome.
Eunyoung JUNG ; Soon Ok CHOI ; Woo Hyun PARK
Journal of the Korean Surgical Society 2011;80(Suppl 1):S85-S87
Primary segmental volvulus (PSV) of the ileum in neonate occurs rarely but shows an aggressive clinical course. Thus, early diagnosis is important to prevent necrosis and perforation of the intestine. We report a case of PSV of the ileum in a 2-day-old female neonate whose clinical features and radiologic findings appeared to be meconium plug syndrome.
Early Diagnosis
;
Female
;
Humans
;
Ileum
;
Infant, Newborn
;
Intestinal Volvulus
;
Intestines
;
Meconium
;
Necrosis
7.Ultrasound measurement of pouch to perineum distance as a guide in determination of high or low imperforate anus.
Soon Ok CHOI ; Woo Hyun PARK ; Seong Ku WOO
Journal of the Korean Surgical Society 1993;45(1):103-107
No abstract available.
Anus, Imperforate*
;
Perineum*
;
Ultrasonography*
8.A study on the relationship between fatigue and stress.
Sung Hyun KIM ; Jin Hee YOON ; Hye Soon PARK
Journal of the Korean Academy of Family Medicine 1992;13(3):226-232
No abstract available.
Fatigue*
9.MR measurement of normal corpus callosum: age and sex differentiation.
Myung Seob LEE ; Myung Soon KIM ; Hyun Ju PARK
Journal of the Korean Radiological Society 1992;28(4):527-530
Measurement of various portions of the corpus callosum was performed on magnetic resonance(MR) images of 114 subjects with no known or suspected corpus callosal disorders. Midsagittal T1-weighted images used for measurements and mean diameters of various portions in each age and sex group were obtained. Measures of five portions were made : (A) the anterio-posterior length, (B) the diameter of genu portion, (C) the diameter of splenium, (D) the diameter of and mid-body portion, (E) the diameter of narrow portion at the body of corpus callosum. The mean diameter in each gender group for A, B, C, D, and E were 68.8mm, 12.1mm, 12.3mm, 6.9mm, 4.1mm in male and 69.9mm, 12.0mm, 12.1mm, 6.4mm, 4.1mm in female, respectively. The groups of 0-9 years of both genders showed the minimum mean value in each portion.
Corpus Callosum*
;
Female
;
Humans
;
Male
;
Sex Differentiation*
10.Intracranial metastases of lung cancer -CT and histopathologic correlation-.
Hyun Ju PARK ; Myung Soon KIM ; Myung Jae KANG
Journal of the Korean Radiological Society 1991;27(3):329-336
No abstract available.
Lung Neoplasms*
;
Lung*
;
Neoplasm Metastasis*