1.An Isolated Fracture-Dislocation of the Cuboid: A Case of Report
Hyung Yeon CHOI ; Kyeong Soo KIM ; Sung Tack HWANG ; Ick Soo KIM ; Eun Sik LEE ; Sung Cho HUR
The Journal of the Korean Orthopaedic Association 1994;29(5):1444-1447
Fracuture-dislocation of the cuboid is an extremely rere injury compared with fracture-dislocation of other tarsal bones. We report a case of the fracture-dislocation of the cuboid treated by open reduction and internal fixation.
Tarsal Bones
2.Peripheral neuroblastoma.
Won HUR ; Jin Hyoung WON ; Sung Ku AHN ; Won Soo LEE ; Seung Hun LEE ; Soo Imm CHOI
Korean Journal of Dermatology 1993;31(2):253-257
A case of peripheral neuroblastoma of a 33-year-old male, which was located on the left buttock, is presented. Histologcally, this tumor demonstrated smaliound cell infiltrations which were arranged in a characteristic rosette pattern and the tumor cells were positively stained with neuron specific enolase. We review the clinical, histopathological ultrastructural and immunohisto chemical characteristics of this rare tumor, as well as the differential diagnosis with other small round cell tumors.
Adult
;
Buttocks
;
Diagnosis, Differential
;
Humans
;
Male
;
Neuroblastoma*
;
Phosphopyruvate Hydratase
3.Kimura's Disease in the Arm
Kye Hyoung LEE ; Hyung Yeon CHOI ; Sung Cho HUR ; Eun Sik LEE ; Kyoung Su KIM ; Doo Hyun CHUNG
The Journal of the Korean Orthopaedic Association 1994;29(6):1564-1570
Kimura's disease is an uncommon, chronic inflammatory disease of unknown etiology. It is an important category of reactive lymphadenopathy in the oriental population. The most common sites are the subcutis of the head and neck, and parotid gland. It's clinical course is benign nature. The treatment modalities for this disease are steroid therapy, radiation therapy and surgical excision. We experienced a case of soft tissue mass in the left arm. It was slightly tender and relatively movable. We excised the mass, which was turned out to be Kimura's disease on microscopic examination.
Arm
;
Head
;
Lymphatic Diseases
;
Neck
;
Parotid Gland
4.Donor Safety in Living Donor Liver Transplantation Using Right Lobe.
Hoon HUR ; Dong Goo KIM ; Sung Ho CHOI ; In Sung MOON ; Myung Duk LEE ; In Chul KIM
The Journal of the Korean Society for Transplantation 2002;16(2):238-243
PURPOSE: Right lobe donation is technically more difficult and need to define surgical technique and has more risk for surgical complication. Right lobe donation usually matched graft size but safety of donor is major concern. In this paper, we reviewed our experience of donor hepatectomy using right lobe in regarding to safe of our donor operations, retrospectively. METHODS: Retrospective analysis of 42 donor operations for adult LDLT using right lobe was performed. We observed the patient characteristics, the operative findings, peak liver enzymes (AST, ALT, bilirubin) as donor risk and mortality, morbidity. RESULTS: The peak value of liver enzymes in the group of less the 30% of remained liver were significantly higher than the group of more than 30% of remained liver and these values could induced the risk on donor. The postoperative peak value of liver enzymes were increased according to degree of fatty change especially in case of more than 10% fatty change even without significance. We observed the liver regeneration on postoperative 3 months and the regeneration of liver volume on postoperative 3 months was about two times compare to preoperative value and the regenerative activity was more increased in the group of less amount of remained volume. There was no donor mortality and most important complication was biliary complication, in which were biliary injury, bile leakage and biliary stricture. CONCLUSION: Right lobectomy for donor operation requires a meticulous surgical technique to minimize donor morbidity. Right lobectomy can be performed safely with minimal risk in case of careful donor selection that the remained liver volume exceed 30% of the total liver volume and the liver of minimal fatty change.
Adult
;
Bile
;
Constriction, Pathologic
;
Donor Selection
;
Hepatectomy
;
Humans
;
Liver Regeneration
;
Liver Transplantation*
;
Liver*
;
Living Donors*
;
Mortality
;
Regeneration
;
Retrospective Studies
;
Tissue Donors*
;
Transplants
5.Isotype and IgG Subclass Distribution of Autoantibody Response to Alpha-enolase Protein in Adult Patients with Severe Asthma.
Hye Ah LEE ; Byul KWON ; Gyu Young HUR ; Sung Jin CHOI ; Dong Ho NAHM ; Hae Sim PARK
Yonsei Medical Journal 2008;49(6):923-930
PURPOSE: A possible involvement of autoimmune mechanism in the pathogenesis of bronchial asthma has been proposed. Recently, alpha-enolase protein was identified as a major autoantigen recognized by circulating IgG autoantibodies in patients with severe asthma. To evaluate a possible pathogenetic significance of these autoantibodies in severe asthma, isotype (IgG, IgA, IgM, and IgE) and IgG subclass (IgG1, IgG2, IgG3, and IgG4) distributions of autoantibodies to recombinant human alpha-enolase protein were analyzed. PATIENTS AND METHODS: We examined serum samples from 10 patients with severe asthma and 7 patients with mild-to-moderate asthma, and 5 healthy controls by immunoblot analysis. Severe asthma was defined as patients having at least 1 severe asthmatic exacerbation requiring an emergency department visit or admission in the last year despite continuous typical therapies. RESULTS: IgG1 was the predominant IgG subclass antibody response to alpha-enolase protein in patients with severe asthma. IgG1 autoantibody to alpha-enolase protein was detected in 7 of 10 patients with severe asthma (70%), 1 of 7 patients with mild-to-moderate asthma (14.3%), and none of 5 healthy controls (0%) (chi-square test; p < 0.05). IgA, IgM, and IgE autoantibodies to alpha-enolase protein could not be detected in patients with severe asthma. CONCLUSION: IgG1 subclass was the predominant type of autoantibody response to alpha-enolase protein in patients with severe asthma, suggests a possibility of IgG1 autoantibody- mediated complement activation in the pathogenesis of severe asthma.
Adult
;
Aged
;
Asthma/*enzymology/*immunology
;
Autoantibodies/*blood/classification
;
Autoantigens
;
Case-Control Studies
;
Complement Activation
;
Female
;
Humans
;
Immunoglobulin G/blood/classification
;
Immunoglobulin Isotypes/blood
;
Male
;
Middle Aged
;
Phosphopyruvate Hydratase/*immunology
;
Recombinant Proteins/immunology
;
Young Adult
6.A Case of Recurrent Liver Abscess Due to Choledochoduodenal Fistula.
Jun Ho HUR ; Sun Taek CHOI ; Min Su SOHN ; Ji Eun LEE ; In Hee CHUNG ; Sung Ho KI
Yeungnam University Journal of Medicine 2013;30(1):39-42
Cholelithiasis, duodenal ulcer, duodenal perforation and tumor invasion may lead to choledochoduodenal fistula (CDF). CDF often has no specific symptoms and may be incidentally detected in an upper gastrointestinal radiographic study or endoscopy; but in some cases, it may be accompanied by recurrent cholangitis and liver abscess. In this paper, a case of recurrent liver abscess caused by CDF is reported. A 62-year-old female was admitted to the authors' hospital because of right upper quadrant pain and fever. The abdominal computed tomography showed a liver abscess in the right lobe. A duodenal fistulous orifice was detected with endoscopy, and a contrast was injected through the duodenal orifice using a catheter under fluoroscopy. The injection of the contrast revealed a fistulous track between the duodenal bulb and the common hepatic duct. In fistulas complicated by recurrent liver abscess, surgery or medical management may be needed. The CDF in this case study was treated via endoscopic clipping.
Catheters
;
Cholangitis
;
Cholelithiasis
;
Duodenal Ulcer
;
Endoscopy
;
Female
;
Fever
;
Fistula
;
Fluoroscopy
;
Hepatic Duct, Common
;
Humans
;
Liver
;
Liver Abscess
;
Track and Field
7.Sphincter-saving procedures for distal carcinoma of the rectum.
Ok Suk BAE ; Sung Dae PARK ; Jung Shin KANG ; Young Woo KANG ; Jung Wook HUR ; Ok Bae KIM ; Tae Jin CHOI
Journal of the Korean Surgical Society 1991;41(2):233-237
No abstract available.
Rectum*
8.A case of myasthenia gravis associated with hypothyroidism.
Sang Jun BYEON ; Sang In LEE ; Se Sik CHOI ; Mu Hyun BAE ; Mi Hye JUNG ; Jong Hun KIM ; Sung Pyo SON ; Kap Do HUR
Journal of Korean Society of Endocrinology 1993;8(2):217-220
No abstract available.
Hypothyroidism*
;
Myasthenia Gravis*
9.Epithelial ovarian cancer in patients under 20 years of age.
Ji Hyang CHOI ; Soo Young HUR ; Seog Nyeon BAE ; Seong Sup PARK ; Sung Eun NAMKOONG ; Joon Mo LEE
Korean Journal of Obstetrics and Gynecology 2008;51(8):850-857
OBJECTIVE: Epithelial ovarian cancer is the most common cause of death due to gynecologic malignancies in adults, but is rare in children and adolescents. This is a report of series of such patients under 20 years of age documenting their presentation, histologic type, stage of disease, treatment, and outcome. METHODS: We collected data on 21 patients with epithelial ovarian cancer under 20 years of age between January 1990 and December 2005. Patient records and pathology were reviewed. RESULTS: Epithelial ovarian cancer under 20 years of age was 2.2% in overall ovarian cancer. Epithelial ovarian cancer was 42.0% among 50 patients under 20 years of age and the most common histologic type was germ cell tumors (54%). The median age at the time of diagnosis was 17.6 years (range, 13-20 years), and the median follow-up was 87 months (range, 4-175 months). There were seventeen (81.0%) mucinous tumors, four (19.0%) serous tumors. About thirty-eight percent were low malignant potential or borderline tumors. About Eighty-five percent (18 patients) of tumors were stage I disease and about fourteen percent (3 patients) were stage III disease at the time of diagnosis. Surgical treatment included conservative surgery in 18 patients (85.7%), total abdominal hysterectomy and bilateral salpingo- oophorectomy in 3 patients (14.3%). CONCLUSION: Epithelial ovarian cancers are rare in patients in children and adolescents. The majority of ovarian cancers in this age group are mucinous tumors, stage I at diagnosis and borderline ovarian tumor. Conservative management is feasible to achieve preservation of fertility.
Adolescent
;
Adult
;
Cause of Death
;
Child
;
Female
;
Fertility
;
Follow-Up Studies
;
Humans
;
Hysterectomy
;
Mucins
;
Neoplasms, Germ Cell and Embryonal
;
Neoplasms, Glandular and Epithelial
;
Ovarian Neoplasms
;
Ovariectomy
10.Surgical treatment of primary cardiac tumor.
Kyoung Tae CHA ; Min Su HONG ; Byung Chul CHOI ; Seob LEE ; Hwan Kuk YOO ; Yong HUR ; Wook Su AHN ; Byung Yul KIM ; Jung Ho LEE ; Hoe Sung YU
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(7):701-711
No abstract available.
Heart Neoplasms*