1.Incarceration of the Gravid Uterus with Myoma: Report of One Patient Managed with Uterine Reduction.
Tae Gee JANG ; Min Hwan KO ; Tae Hyun LEE ; Eun Jee LEE ; Suk Yong WON
Korean Journal of Obstetrics and Gynecology 2000;43(11):2059-2061
Incarceration of the gravid uterus is a rare but serious complication of pregnancy. Reported is the case of a gravid 2, para 0, abortus 1 with known uterine subserosal myoma(5.3 x5.5cm sized) 26-year-old woman presented with acute dysuria and urinary retention. The patient was 14 weeks and 3 days pregnant and presented several week history of urinary frequency and sensation of incomplete bladder emptying. Examination revealed a retroflexed uterus with cervical opening pointing toward the anterior abdominal wall. An ultrasound revealed a thin, elongated maternal bladder and a uterus incarcerated between the sacral promontary and the pubis. The incarceration was successfully reduced by tenaculum traction of the cervical posterior lip without surgical intervention and had a normal infant of appropriate weight at term.
Abdominal Wall
;
Adult
;
Dysuria
;
Female
;
Humans
;
Infant
;
Leiomyoma
;
Lip
;
Myoma*
;
Pregnancy
;
Sensation
;
Traction
;
Ultrasonography
;
Urinary Bladder
;
Urinary Retention
;
Uterine Retroversion
;
Uterus*
2.Decompressive Surgery Alone for Lumbar Spinal Stenosis in Elderly Patients.
Il Tae JANG ; Sang Won LEE ; Paul M ATIENZA ; Jang Seon YOU
Korean Journal of Spine 2008;5(2):83-88
OBJECTIVE: The authors conducted this study to investigate the safety and efficacy of decompressive surgery alone in the treatment of lumbar spinal stenosis in the elderly population. METHODS: All charts and records of 323 patients aged 65 years or older who underwent lumbar spinal decompressive surgery without fusion for lumbar spinal stenosis in the period from September 2003 to August 2007 were reviewed. RESULTS: A total of 323 patients were identified. Mean age among patients were 72.6years. 197 patients(60.9%) underwent wide decompression, 95 patients(29.4%) had microscopic partial decompression, and 31 patients(9.5%) underwent bilateral decompression via unilateral approach. Perioperative morbidity seen was among 16 patients(4.9%). There were 5 patients(1.5%) reoperated for hematoma formation. Another 5 patients(1.5%) developed wound infection. Cerebrospinal fluid(CSF) leakage were noted among 3 patients(0.9%). 2 patients(0.6%) had urinary difficulty, and Steven Johnson syndrome developed in one patient(0.3 %). Clinical outcome was evaluated using Macnab's classification. 40 patients(12.4%) had excellent results, 241 patients(74.8%) had good results, 34 patients(10.3%) had fair results and 8 patients(2.5%) had poor outcome. CONCLUSION: Decompressive laminectomy alone is a relatively safe and effective treatment option for the elderly.
Aged
;
Decompression
;
Hematoma
;
Humans
;
Laminectomy
;
Spinal Stenosis
;
Wound Infection
3.Expression of Transglutaminase K in Several Skin Diseases.
Tae Won KIM ; Ki Beom SHUR ; Jeung Hoon LEE ; Jang Kyu PARK ; Soo Youl KIM
Korean Journal of Dermatology 1998;36(3):399-406
To understand the role of Transglutaminase K(TGase K) in skin diseases, the expression of TGase K protein was studied in hyperkeratotic inflammatory skin diseases, and in several different kinds of benign and malignant skin tumors. Immunohistochemistry was used to detect the TGase K protein with a new anti-human TGase K polyclonal antibody. This antibody showed the same immuno- histochemical staining pattern as in previously published immunofluorescence data with the exception that the immunohistochemical stain showed a slightly weaker stain in the granular layer. However, the staining intensity was decreased in psoriasis, which is opposite for results obtained with the widely used TGase K monoclonal antibody B.C1. In other hyperkeratotic inflammatory skin diseases, like pityriasis rubra pilaria, lichen planus, and pityriasis rosea, the staining patterns were similar while the staining intensity was decreased, compared to normal epidermis. Squamous cell carcinoma showed a diffuse staining pattern in tumor cells with a small intensity increase in well differentiated tumor cells. However, in actinic keratosis and Bowen's disease, which are thought to be precursors of squamous cell carcinoma, the staining intensity was weak. The tumor cells of basal cell carcinoma, malignant melanoma, and seborrheic keratosis showed a weak staining intensity.
Bowen's Disease
;
Carcinoma, Basal Cell
;
Carcinoma, Squamous Cell
;
Epidermis
;
External Fixators
;
Fluorescent Antibody Technique
;
Immunohistochemistry
;
Keratosis, Actinic
;
Keratosis, Seborrheic
;
Lichen Planus
;
Melanoma
;
Pityriasis
;
Pityriasis Rosea
;
Psoriasis
;
Skin Diseases*
;
Skin*
4.Transudates vs. Exudates Pleural Effusion.
Korean Journal of Medicine 2011;81(2):135-142
Pleural effusions are common and of highly diverse etiologies. These effusions can form based on disease of the pleural membranes themselves or of thoracic or abdominal organs. In initial approach, these effusions can be separated as exudates or transudates with Light's criteria. Exudative pleural effusions meet at least one of the following criteria, whereas transudative effusions meet none: pleural fluid protein-to-serum protein ratio of more than 0.5, pleural fluid lactate dehydrogenase (LDH)-to-serum LDH ratio of more than 0.6, and pleural fluid LDH more than two thirds of the upper normal limit for serum. If a patient appears to have clinically a transudative effusion, additional tests can be assessed to verify its transudative etiology. Congestive heart failure and cirrhosis are responsible for almost all transudative pleural effusions. However, it has been determined that the patient has an exudative pleural effusion, one should attempt to determine which of the diseases, remembering that pneumonia, malignancy, and tuberculosis account for the great majority of all exudative pleural effusions. In all patients with undiagnosed exudative pleural effusions, the appearance of the fluid should be noted, and the pleural fluid protein and LDH levels, glucose level, differential cell count, and microbiologic and cytologic studies should be obtained. In selected patients, other tests on the pleural fluid, such as pH, amylase level, antinuclear antibody level, rheumatoid factor level, adenosine deaminase, lipid analysis, and so forth, may be of value.
Adenosine Deaminase
;
Amylases
;
Antibodies, Antinuclear
;
Cell Count
;
Exudates and Transudates
;
Fibrosis
;
Glucose
;
Heart Failure
;
Humans
;
Hydrogen-Ion Concentration
;
L-Lactate Dehydrogenase
;
Membranes
;
Pleural Effusion
;
Pneumonia
;
Rheumatoid Factor
;
Tuberculosis
5.A Case of Blue Rubber Bleb Nevus Syndrome.
Woong Jae LEE ; Tae Won KIM ; Ki Beom SUHR ; Jeung Hoon LEE ; Jang Kyu PARK
Korean Journal of Dermatology 1998;36(6):1139-1142
The blue rubber bleb nevus syndrome(CRBNS) is a rare disorder characterized by distinctive vascular malformations of the skin and gastrointestinal tract. The syndrome is associated commonly with iron deficiency anemia due to gastrointestinal bleeding. Most cases are sporadic, although a few have been reported with autosomal dominant inheritance. We report a case with clinical characteristics of the blue rubber bleb nevus syndrome. The patient had typical skin manifestations of the BRBNS and chronic iron deficiency anemia. However, we could not find any gastrointestinal vascular malformations radiologically.
Anemia, Iron-Deficiency
;
Blister*
;
Gastrointestinal Tract
;
Hemorrhage
;
Humans
;
Nevus*
;
Rubber*
;
Skin
;
Skin Manifestations
;
Vascular Malformations
;
Wills
6.Suction Auto Epidermal Graft on Removal of Epidermis of Depigmented Lesion with Radio-frequency Irradiation.
Jang Kyu PARK ; Hyoung Joo KIM ; Ha Suk NO ; Tae Won KIM ; Jeung Hoon LEE
Korean Journal of Dermatology 1999;37(4):481-487
BACKGROUND: Suction auto epidermal graft for the treatment of stable vitiligo has become popular clinically. In general, depigmented epidermis is removed by liquid nitrogen freezing for preparation of the recipient site. There have been some problems with the nitrogen freezing method, uneven repigmentation, appearance of Koebner's phenomenon on normal colored skin around the graft site, scar formation on recipients sites. In our view these resulted in unwanted damage to the dermis and epidermal and skin appendageal melanocytes of normal skin by freezing. OBJECTIVE: To introduce a method to remove the depigmented epidermis of recipient site with minimal unwanted damage to melanocytes and dermal tissue. METHODS: Using Ellman surgitron, irradiation equipment of 3.8MHz frequency the depigmented epidermis was removed with a blade electrode under rated electric power around 10 watts depending on the thickness of the epidermis. Operating mode was fully filtered current for minimal charring and destruction of tissue through pure micro-smooth cutting. RESULTS: In the case of removal of the epidermis with Ellman surgitron, oozing and inflammation decreased markedly compared with those applied with liquid nitrogen. And it was confirmed histopathologically that there was no significant unwanted destruction of healthy tissue. Moreover, the electrode of Ellman surgitron is designed to be apt to trace the margin of depigmented lesion. And Ellman surgitron features a continuously linear intensity setting for precise, predictable control to minimize tissue destruction and charring. So we were able to remove the epidermis of the shallow lesion looking like a pseudopod and of the thinnest part of the body like eyelid also. And we grafted normal epidermis successfully on the depigmented lesion. CONCLUSION: The removal of depigmented epidermis by radio-frequency gave satisfactory results in the suction auto epidermal graft by overcoming the defects shown as depigmented epidermis which were removed by liquid nitrogen freezing. And this method made patients comfortable because of less pain, a one day operation procedure and good results.
Cicatrix
;
Dermis
;
Electrodes
;
Epidermis*
;
Eyelids
;
Freezing
;
Humans
;
Inflammation
;
Melanocytes
;
Nitrogen
;
Skin
;
Suction*
;
Transplants*
;
Trout
;
Vitiligo
7.A Case of Metastatic Tuberculous Abscess of Skin Following Intestinal Tuberculosis.
Tae Hyung KIM ; Jang Oh KIM ; Ho Cheol SHIN ; Sang Won KIM
Korean Journal of Dermatology 1995;33(3):510-515
We reported herein a rare case of a 65-year-old female who lead intestinal tuberculosis of about 2 months duration, with little late development of metastatit berculosis abscess of the skin. The lesions were egg tow wolnut-sized abscesses or nodules occu in, on the back, right flank and lower abdomen with no pain or mild tenderness. Physical exami saion was unremarkable on dissemination of other sites. The tuberculin test was negative. The skin esions were diagnosed by clinical, histopathologic features, and positive results for Mycobactc iuntuberculosis in smear.; and cultures in the pus discharge: as well as polymerase chain reaction nethod on the nodular lesion. A barium enema showed the findings of intestinal tuberculosis, with positive culture in the stool. A combined treatment was intituted. During the initial 4 month, utaneous lesions did not respond and in some cases worsened with the multidrug of isoniazicr fampin, pyrazinamide and streptomycin, all of which were surgically excised. Thereafter, the drugs of isoniazid and rifampin were further administered for ahout 14 months, with the complete resecution of both lesions and the systemic symptomatolo. There was no relapse at follow-up after 6 months.
Abdomen
;
Abscess*
;
Aged
;
Barium
;
Enema
;
Female
;
Follow-Up Studies
;
Humans
;
Isoniazid
;
Ovum
;
Polymerase Chain Reaction
;
Pyrazinamide
;
Recurrence
;
Rifampin
;
Skin*
;
Streptomycin
;
Suppuration
;
Tuberculin Test
;
Tuberculosis*
8.A Biomechanical Study on the Pull-Out Strength of Pedicle Screw Augmented with Polymethylmethacrylate(PMMA)- Cadaveric Study -.
Jee Soo JANG ; Sang Ho LEE ; Kyung Tae KIM ; Byung Soo KIM ; Won Bok LEE
Journal of Korean Neurosurgical Society 2002;31(1):45-49
OBJECTIVE: The authors evaluate the differences in the pedicle screw pull-out strength between an unaugmented screw and a screw augmented by high pressurized PMMA in an embalmed human lumbar cadaveric spine. METHODS: Pedicle screws were inserted in the 50 pedicles of cadaver lumbar spine after measuring the bone mineral density(BMD) of the specimens. The pedicle screw was inserted without augmentation on the left pedicle and with augmentation by a vertebral reconstruction with high pressurized PMMA on the right side. The pedicle screw was inserted before the hardening of bone cement on the right side. A computed tomographic scan was done to evaluate the location of the PMMA and PMMA/ screw interface. After that, a screw pullout strength test was performed. RESULTS: There were positive correlations between the pull-out strength and BMD in the control group (r=0.7339). The average pull-out strength of the augmented group was 168% greater than that of the control group(p<0.05). The pull-out strength of the augmented group was correlated with in the volume of the PMMA. CONCLUSION: A pedicle screw that is augmented with PMMA will provide a more rigid fixation than that of an unaugmented screw, especially in the low BMD group of the specimens.
Cadaver*
;
Humans
;
Polymethyl Methacrylate
;
Spine
9.A case of thanatophoric dysplasia.
Tae Wook SONG ; Sang Chul HAN ; Jang Hyun NAM ; Keun Young LEE ; Sung Won KANG
Korean Journal of Obstetrics and Gynecology 1992;35(5):765-773
No abstract available.
Thanatophoric Dysplasia*
10.Malignant Lymphoma of Mucosa-associated Lymphoid Tissue Arising in the Conjunctiva.
Tae Kyung KIM ; Jang Oh KIM ; Sang Won KIM ; Hoon Kyu OH ; Jae Bok PARK
Annals of Dermatology 1995;7(3):273-277
We report two cases of malignant lymphoma of mucosa-associated lymphoid tissue arising in the conjunctiva. Case 1, an 18-year-old girl, showed her left lower conjunctival swelling for four months and Case 2, a 29-year-old man, showed similar lesions on both his eyes for one year. Histologically, both cases revealed monomorphous dense lymphoid infiltrates invading the overlying conjunctival epithelium with diffuse patterns. The infiltrates were composed of small lymphocytes admixed with centrocyte-like cells within the conjunctival epithelium and stroma in association with B-cell lineage. No relapse was noted during the period of about 1½ years follow-up in case 1 treated by local excision only and in the follow-up period of 2 months in case 2 treated by local excision and subsequent chemotherapy.
Adolescent
;
Adult
;
B-Lymphocytes
;
Conjunctiva*
;
Drug Therapy
;
Epithelium
;
Female
;
Follow-Up Studies
;
Humans
;
Lymphocytes
;
Lymphoid Tissue*
;
Lymphoma*
;
Recurrence