Anisakiasis refers to the accidental infection of humans by a marine nematode as a result of eating a raw flsh which contains larval stages of the nematode sub-family Anisakidae. This patient developed acute epigastric pain three days after eating a raw flsh, Astroconcer myriaster. Gastrofiberscopy revealed Anisakis larva invading the stomach wall and the larva could be extracted using a biopsy forceps via gastrofiberscopy. The worm was identified as Terranova type A larva based on their morphologic features such as its length, width, intestinal cecum reaching to anterior one-third level of ventriculus and a mucron at posterior end.
Humans ; Biopsy

Lipoma involving brain and spinal cord is a rare tumor that most commonly located in the midsagittal region. This lesion is usually asymptomatic and has been reported incidentally at postmortem examination. Recently, the CT scan establishes the diagnosis of intracranial lipoma on the basis of typical X-ray absorption and location. The authors experienced a case of intracranial lipoma of occipital lobes. The patient was 7 months-old male who had protruding mass on the occipital region after birth. The mass revealed an uncapsulated lipoma with foca cartilage formation. We report this case with brief review of literatures.
Male ; Humans

The peripheral neuroepithelioma is a primitive neuroectodermal tumor arising from peripheral nerve. This tumor is exceedingly rare and various authorities have estimated its incidence as less than 1% of all malignant tumors of peripheral nerve. As far as our knowledge is concerned, no report on the peripheral neuroepithelioma has been published in Korea. In June, 1985, we experienced a case of peripheral neuroepithelioma that arose in scalp in a 56 year old female. Clinical data and histopathological findings with light and electron microscope of the case were discussed and a brief review of the literature on this entity was made.
Female ; Humans ; Incidence

No abstract available.
Peritoneal Dialysis, Continuous Ambulatory* ; Peritonitis*

With increasing use of whole blood transfusions, a variety of untoward reactions have been recognized during the past quarter century. The most common complication of blood trasfusions is urticaria among the allergic reactions, but angioneurotic edema, bronchospasm, and even anaphylactic shock have been observed. The urticaria after blood transfusion during anesthesia has been studied from March 1980 to February 1979 in the department of anesthesiology in Ewha Womans University Hospital. Among 642 cases in total of whole blood transfusion, there were 92 cases(14.4%) of urticaria. The following results were obtained: 1) 92 cases(14.4%) developed urticaria. 2) Among them, 52 cases(59.8%) had mild form urticaria, 16 cases(17.3%) moderate and 21 cases(22.8%) serere. 3) 20 cases of severe urticaria were given average 6. 25 pints of whole blood transfusion. 4) The incidence of urticarial reaction increased with the amount of blood given. 5) Almost all cases of severe urticaria were over 20 years of age and the difference of sex ratio was not significant. 6) Average eosinophil count was 1. 5% of whole white blood cell count and it was within normal limits. 7) 19 cases received general anesthesia and only one case spinal anesthesia. 8) Average onset of urticarial reactions was 1 hour and 45 minutes after transfusion started and everage duration of urticarial reactions was 4 hours and 15 minutes. 9) Pheniramine maleate, hydrocortisone sodium succinate and epinephrine were used as the treatment of urticaria. 10) The results of treatment were good in 25%, moderate 55% and poor 20%.
Anaphylaxis ; Anesthesia* ; Anesthesia, General ; Anesthesia, Spinal ; Anesthesiology ; Angioedema ; Blood Transfusion* ; Bronchial Spasm ; Eosinophils ; Epinephrine ; Female ; Humans ; Hydrocortisone ; Hypersensitivity ; Incidence ; Leukocyte Count ; Pheniramine ; Sex Ratio ; Sodium ; Succinic Acid ; Urticaria*

The changes in serum electrolytes that follow the administration of succinylcholine have been reported in numerous publications since the first description of hyperkalemia by Klupp et al in 1954. The changes in serum K+, Ca++ and Na+ after administration of succinylcholine, 2mg/kg, were compared in 3groups of 20 patients each to determine the effect of diasepam and d-Tubocurarine pretreatment on the elctrolyte level. Group l received succinylcholine 2mg/kg only; group ll diazepam 0.2mg/kg 3 minutes before succinylcholine; group lll 3mg d-Tubocurarine 3 minutes before succinylcholine. This investigation was limited to the first 10 minutes after induction on sixty, ASA class 1 patients undergoing elective surgical procedure. The results were as follows: 1) A significant increase of serum potassium concentration was observed at 4 minutes and 6 minutes in group l compared to baseline value(p<0.05). 2) Mean peak change ratio in serum potassium was significantly lower in group lll than group l (p<0.05). 3) There was no significant changes in serum concentration in 3 groups. 4) There was no significant changes in serum sodium concentration except for a decrease at 10 minutes in group l(p<0.05).
Diazepam* ; Electrolytes ; Humans ; Hyperkalemia ; Potassium ; Sodium ; Succinylcholine ; Surgical Procedures, Elective ; Tubocurarine*

The anesthetic management of cesearean section in patients with hypertensive disorders of pregnancy has been controversial. Regional anesthesia, particularly lumbar epidural block, and general anesthesia have been recommended. We have made a clinical analysis of anesthesia for 349 cesearean sections among total 1,434 toxemia from Jan. 1976 to Dec. 1980 in the Department of Anesthesiology, Ewha Womans University Hospital. The results are as follows: 1) The incidence of cesarean section of toxemic patients was 24.3%. 2) Indications for cesarean section were, in order of frequency:FPD(48.9%), previous C-section(14.3%), abnormal presentation (10.0%), etc. 3) Of the total 349 cesarean sections, 86%(300 cases) were emergency cases. 4) The majority of preoperative systopic pressure was 140~160 mmHg. 5) Of the total cases, 48.8%(153 cases) had general anesthesia and 51.2%(196 cases) had spinal. 6) One minute Apgar score of the infants born after spinal anesthesia are better than general anesthesia. 7) In patients received magnesium sulfate(96 cases), 54.2%(52 cases) had general anesthesia and 45.8%(44 cases) had spinal anesthesia. 8) In cases with magnesium sulfate therapy, there was a few incidence of severe neonatal depression.
Anesthesia* ; Anesthesia, Conduction ; Anesthesia, General ; Anesthesia, Spinal ; Anesthesiology ; Apgar Score ; Cesarean Section* ; Depression ; Emergencies ; Female ; Humans ; Incidence ; Infant ; Magnesium ; Magnesium Sulfate ; Pregnancy ; Toxemia*

An effect of D-phenylalanine on the pain inhibitory mechanism of prolonged electrical stimulation of the peripheral nerve was studied in decerebrate cats and spinal cats. The response of spinal neurons was elicited either by electrical stimulation of the ipsilateral common peroneal nerve and tibial nerve. The single-unit activity of motor neurons which represent the flexion reflex was recorded from a filament of ventral rootlet divided from either the L7, S1 or S2 ventral root, and activity of dorsal horns cells was recorded with a microelectrode at the lumbosacral cord The conditioning stimuli which provocate the pain inhibitory mechanism of the common peroneal or tibial nerve was applied with repetitive, low frequency (2Hz), at a suprathreshold intensity for C fiber, for 30-45 minutes. The results of the experiment are summarized as follows: 1. Applying conditioning stimuli produced a powerful inhibition of the responses which was provocated by noxious stimuli in either the decerebrate or the spinal cat without any statistical difference, and this effect can be observed for 15 minutes after the cessation of the conditioning stlmuli 2. This response was reversed completely by systemic injection of a specific opiate antagonist, naloxone. It suggests that the conditioning stimulus of the peripheral nerve can produce the endogenous opiate related pain inhibitory effect as the spinal mechanism. 3. The conditioning stimuli can produce the analgesic effect by means of supression of the activity of the dorsal horn cell which was related to the pain response in the decerebrate cat. The same result could be observed in flexion reflex. 4. D-phenylalanine, a putative inhibitor of carboxypeptidase which degradates the endogenous opiate-enkephalin, was studied in this experiment under the hypothesis that D-phenylalanine will emphasize or prolongate the action of enkephalin. But, intravenously injected D-phenylalanine did not potentiate the inhibitory effect of the conditioning stimuli of the peripheral nerve. From the above result, it is speculated that the electrical stimulation of the peripheral nerve is directly mediated by an endogenous opiate related analgesia, and the site of the analgesic action resides mainly in spinal cord level. But these data could not support the gypothesis that antinociceptive effect of D-phenylalanine results frm the potentiation of endogenously released enkephalin.
Analgesia* ; Animals ; Cats* ; Electric Stimulation ; Enkephalins ; Horns ; Microelectrodes ; Motor Neurons ; Naloxone ; Nerve Fibers, Unmyelinated ; Neurons ; Peripheral Nerves* ; Peroneal Nerve ; Posterior Horn Cells ; Reflex ; Spinal Cord ; Spinal Nerve Roots ; Tibial Nerve

The activity and distribution of aspartate aminotransferase (EC 2.6.1.1) and alanine aminotransferase (EC 2.6.1.2) in adult Fasciola hepatica have been studied. Fasciola hepatica was fractionated by differential centrifugation into nuclear, mitochondrial and cytosolic fractions. The activity of GOT and GPT was measured by the method of Reitman and Frankel. Isozyme patterns of those enzyme were also examined by DEAE-cellulose column chromatography. The results obtained were as follows: The activity of aspartate and alanine aminotransferase was about 0.55 unit and 0.92 unit per 1 g of Fasciola hepatica, respectively. The activity of those enzymes was relatively low compared with those in mammalian tissues. The distribution of aspartate aminotransferase in the subcellular organelles showed that 71 percent of the activity was in cytosolic, 24 percent in mitochondrial and 5 percent was in nuclear fraction. About 22 percent of the total alanine aminotransferase activity was found in the mitochondrial fraction, about 66 percent in the cytosolic fraction. Aspartate aminotransferase from cytosolic fraction was separated into two types of isozymes, whereas alanine aminotransferase from cytosolic fraction gave only one active peak on DEAE-cellulose column chromatography.
parasitology-helminth-trematoda ; Fasciola hepatica ; biochemistry ; enzyme ; aspartate aminotransferase ; alanine ; aminotransferase ; alanine aminotransferase

A fifty-five year old male was admitted because of fever and chill for one month. He complained of upper abdominal pain, malaise, anorexia and weight loss. So diagnostic procedures were performed: stool exam., bload chemistry testing, ultrasonography, radionuclide scintigraphy. ERCP, abdominal CT, and sonoguided liver aspiration, which revealed intrahepatic cholangiocarcinoma associated with clonorchiasis.
Abdominal Pain ; Anorexia ; Chemistry ; Cholangiocarcinoma* ; Cholangiopancreatography, Endoscopic Retrograde ; Clonorchiasis* ; Fever ; Humans ; Liver ; Male ; Radionuclide Imaging ; Tomography, X-Ray Computed ; Ultrasonography ; Weight Loss ; Cholangiocarcinoma