No abstract available.
Osteoporosis*

No abstract available.

No abstract available.

No abstract available.
Osteoporosis*

No abstract available.
Parathyroid Hormone-Related Protein

A case of intussusception of a ureter due to a ureteral polyp was observed. Ureteral intussusception have been exceedingly rare, and very few reference to this condition can be found in the medical literature. The author have report a 39 years old female of a case of intussusception of the ureter associated with a benign polyp. The author have performed satisfactory conservative treatment. The patient was entirely recovery and has remained in excellent health since.
Adult ; Female ; Humans ; Intussusception* ; Polyps* ; Ureter*

A vesicovaginal fistula is a distressing complication which may follow hysterectomy and other extensive pelvic operation. Maligntncies of the uterin cervix or bladder may predispose to erosion and vesicovaginal fistula or such fistulas may occur as a result of extensive radiation therapy. Childbirth, particularly involving prolonged labor with potential necrosis of the vesico vaginal septum or complicated delivery with trauma may also induce a vesicovaginal fistula. In this experience the most common cause of vesicovaginal fistula resulting from surgery was total abdominal hysterectomy. Diagnosis of vesicovaginal fistula is usually made when appearance of methylene blue in the vagina after instillation of the dye into the bladder and further confirmed the presence and definitive localization of the fistula with cystoscopic examination. The operative procedures, the authors utilized were suprapubic transvesical closure in 8 cases, vaginal closure in two cases, and transabdominal approach in one case. The bladder was opened at the dome and then stay sutures were made at 1.0cm from the fistula margin. Then, the fistulous tract was excised making a lateral margin wide enough to leave viable tissue for subsequent closure. Vaginal wall and bladder wall closure were carried out in whole layer using interrupted 2 zero chromic suture. In one case of large fistula with high opening, the patient was underwent transabdominal method interposing a peritoneal flap between vagina and bladder wall. A urethral catheter was placed for 10 to 12 days postoperatively. In 5 cases of ureterovaginal fistula, one patient required the nephrectomy because of pyonephrosis, 2 patients refused further medication, one had ureteral reimplantation and another patient had psoas hitch and Boari operation. The following conclusions were obtained. 1. The most common cause of vesicovaginal fistula was the complication of total hysterectomy. 2. The diameter of fistulous tract was ranging from 1 to 10 mm. 3. For the repair of vesicovaginal fistula transvesical approach were 8 out of in 13 case, vaginal route in 2 cases, intraabdominal approach using a peritonal flap in one case. 4. Urethral catheter had been placed postoperatively was removed on the 12th postoperative day in most cases. Ureteral splint catheter was also placed for 8 to 10 days postoperatively. 5. 12 out of 14 cases, urinary vaginal fistulas were successfully closed on the first surgical attempt and one case healed on the second attempt. One case failed because of infection at the area of closure.
Catheters ; Cervix Uteri ; Diagnosis ; Female ; Fistula ; Humans ; Hysterectomy ; Methylene Blue ; Necrosis ; Nephrectomy ; Parturition ; Pyonephrosis ; Replantation ; Splints ; Surgical Procedures, Operative ; Sutures ; Ureter ; Urinary Bladder ; Urinary Catheters ; Vagina ; Vaginal Fistula* ; Vesicovaginal Fistula

The parathyroid cyst is a relatively uncommon disease and usually identified during the operation for a presumed thyroid mass. Thirteen cases of parathyroid cyst (2 males, 11 females) treated from 1981 to 1993 were reviewed. Ages ranged from 17 to 59 years(mean, 41 years). Gross measurement of the tumor size varied from 1.0 to 10.0 cm in diameter with a mean of 4.8cm. All of the 13 patients presented with a chief complaint of painless anterior cervical mass. Only one complained of mild symptom of dyspnea and voice change due to huge cyst in paratracheal space. No functional cyst was identified. Diagnostic studies included ^99mTc thyroid scan (n=11), ultrasonography (n=10), computerized tomography (n=4) and fine needle aspiration(FNA) (preoperative, n=4; intraoperative, n=3). All diagnostic precedures but needle aspiration were nonspecific. Cysts were found in right inferior parathyroid(n=4), left inferior parathyroid (n=7), or anterior superior mediastinum (n=2). The FNA of the cyst contents revealed watery clear fluid with elevated parathyroid hormone level and was diagnostic in each cases. Four patients were treated initially with needle aspiration, of which only one patient was successful, and 3 patients who were unsuccessful to needle aspiration and the remaining 9 were effectively treated with surgical extirpation. Our experience suggested that needle aspiration may be of significant help in diagnosis and treatment of parathyroid cyst, but most of the patient could be treated successfully by surgical extirpation with an excellent chance for curability.
Biopsy, Fine-Needle ; Diagnosis ; Dyspnea ; Humans ; Male ; Mediastinum ; Needles ; Parathyroid Hormone ; Thyroid Gland ; Ultrasonography ; Voice

The place of excretory urography in the diagnosis of both renal and extrarenal lesions has been firmly established. Radiographic findings of the kidney by means of excretory urogram is no less important than any other functional study in the evaluation of clinicalconditions, such as atrophic kidney, hydronephrosis, renal tumor, renal hypertension and polycystic kidney. The present investigation was undertaken to establish the morphological features of the normal kidney in Korean adults of both sexes, such as size (length and width), renovertebral angle and distance, number of calices and position in the renal pelvis. 200 cases of normal intravenous pyelography were subjected to the present investigation. These materials were randomly selected from the X-ray file of St. Vincent's Hospital covering the period from Jan. 1979 to Dec. l980. There were 96 males and 104 females of normal health, and the age ranged from 20 to 54 years old, showing comparatively even distribution. The results were as follows: 1. Length: The mean values in males were 12.50 cm for the right side and 12.95 cm for the left side and those in females were 11.99 cm for the right side and 12.43 cm for the left side. The figures for both sides were about 0.5 cm larger in males than in females and the left side was about 0.5 cm larger in both sexes than the right side. 2. Width: The mean values in males were 6.24 cm for the right side and 6.60 cm, for the left side and those in females were 6.07 cm for the right side and 6.38 cm for the left side. The figure for the left side were wider than the right side about 0.4 cm in males and 0.3 cm in females, but there were no significant differences between the left side and the right side in both sexes. 3. Renovertebral angle: The mean values in males were 15.39 degrees for the right side and 15.40 degrees for the left side and in females the figures were 13.34 degrees for the right side and 13.47 degrees for the left side. There were no significant differences between the right and the left side in both sexes, but the angle in both sides were about 2 larger in the male than in the females. 4. Renovertebral distance: The mean values in males were 5.9 cm for the right side and 6.01 cm for the left side and in females the figures were 5.05 cm for the right side and 5.09 cm for the left side. There were no significant differences between the right and left and left side in both sexes, but the distance in both sides were about 0.9 cm larger in the males than in the females. 5. Number of the calices: The number of major calices was 2 to 4 and that of minor calices 5 to 13. The number of minor calices was 7 to 10 in 357 kidneys (89.3%). 6. Position in renal pelvis: An intrarenal pelvis was found in 263 cases (65.8%)and an extrarenal pelvis was seen in 137 cases (34.2%).
Adult* ; Diagnosis ; Female ; Humans ; Hydronephrosis ; Hypertension, Renal ; Kidney Pelvis ; Kidney* ; Male ; Middle Aged ; Pelvis ; Polycystic Kidney Diseases ; Urography

One case of renal infarction due to trauma in a 26 years old male patient, which was treated with partial nephrectomy, was presented with the brief review of literature.
Adult ; Humans ; Infarction* ; Male ; Nephrectomy