No abstract available.
Acrocephalosyndactylia* ; Hypertelorism* ; Orbit*

PURPOSE: To evaluate the radiologic findings of alimentary anthrax. MATERIALS AND METHODS: 19 patients with alimentary anthrax, which was caused by ingestion of contaminated beef, were included in this study. The diagnosis was made .b.y demonstration of Bacillus anthracis in smear and culture of the contaminated meat. We evaluated the clinical manifestations and the findings of thoracic, abdominal radiographs, cervical, abdominal ultrasonograms and abdominal CT scans. RESULTS: Out of the 19 patients with the alimentary infection, 9 had oropharyngeal form, 18 had abdominal form and 8 had combination of oropharyngeal and abdominal form. The patients had general symptoms and signs such as fever, chill, myalgia. Clinical symptoms and signs were sore throat, throat injection, throat ulcer and patch in oropharyngeal form, and nausea, vomiting, abdominal pain, diarrhea, and gross GI bleeding in abdominal form. Radiologic findings included enlarged cervical lymph nodes(36%) in oropharyngeal form, and paralytic ileus(26%), ascites(26%), hepatomegaly(21%), enlarged mesenteric lymph nodes(26%), small bowel wall thickening(5%) in abdominal form. In two patients, late complications occurred as intestinal obstruction due to ileal stricture with perforation, and inflammatory changes of pelvic cavity due to ileovesical fistula. CONCLUSION: Radiologic findings of alimentary anthrax are difficult in differentiation from those of other inflammatory bowel disease, but those radiologic findings with clinical manifestations may be helpful in diagnosis and evaluation of disease process in patients with alimentary anthrax.
Abdominal Pain ; Anthrax* ; Bacillus anthracis ; Constriction, Pathologic ; Diagnosis ; Diarrhea ; Eating ; Fever ; Fistula ; Hemorrhage ; Humans ; Inflammatory Bowel Diseases ; Intestinal Obstruction ; Meat ; Myalgia ; Nausea ; Pharyngitis ; Pharynx ; Tomography, X-Ray Computed ; Ulcer ; Ultrasonography ; Vomiting

PURPOSE: To evaluate CT findings of internal hernia. MATERIALS AND METHODS: Three patients with internal hernia had abdominal CT scans and two of them had small bowel follow through examinations. The CT features of two patients with retroanastomotic and one patient with left paraduodenal hernia were evaluated and correlated with small bowel follow through examinations, and surgical findings. Two patients with retroanastomotic hernia had a history of subtotal gastrectomy with antecolic gastrojejunostomy. The diagnosis of internal hernia was made on the basis of surgical find ings in two patients of retroanastomotic hernia, and characteristic barium study findings in one patient of left paraduodenal hernia. RESULTS: The small bowel follow through examination showed small bowel loops gathered in a circumscribed mass in the left mid abdomen, and delay in passage through these loops. In case of left paraduodenal hernia, abrupt narrowing of the distal duodenum could be identified. The characteristic CT findings of all three patients were whorling of the mesentery and mesenteric vessels in the left mid-abdomen. In the patient with left paraduodenal hernia, after resolution of the gastrointestinal symptoms, a follow-up CT scan showed spontaneous disappearance of whorling of the mesentery and mesenteric vessels suggesting spontaneous resolution of the hernia. In the other two cases, upon exploration of the abdomen, dilatation of afferent duodenum caused by adhesion between ligament of Treitz and adjacent bowel walls, and retro- anastomotic herniation of the efferent loops were found. CONCLUSION: The usual diagnosis of internal hernia is based on the appearance of the small bowel follow through examination. However, we consider that the whorling appearance(we call it whorling sign) of the mesentery and mesenteric vessels on CT scan is also suggestive of internal hernia in patients under clinical suspicion.
Abdomen ; Barium ; Diagnosis ; Dilatation ; Duodenum ; Follow-Up Studies ; Gastrectomy ; Gastric Bypass ; Hernia ; Humans ; Ligaments ; Mesentery* ; Tomography, X-Ray Computed

No abstract available.
Transplants*

No abstract available.
Myasthenia Gravis*

Rheumatoid arthritis is a chronic inflammatory systemic disease of young or middle aged adults, characterized by destructive and proliferative changes in the synovial membrane, periarticular structures, skeletal muscle and perineural sheath. Eventually, the joints are destroyed, ankylosed and deformed. Therfore, the aim of treatment is to keep the inflammatory process at a minimum, thereby preserving the joint motion, maintaining the health of muscle supplying motor power about the joint and preventing secondary joint stiffness and deformity. Surgical treatment in rheumatoid arthritis has progressed and there have been advances in the relief of pain and increase in the range of motion. Among them the results of total knee arthroplasty (TKA) have improved steadily during the past decade due to refinements in design, fixation, and surgical technique. At orthopedic department of seoul national university hospital, we performed 31 total knee replacement in 18 patients who had suffered from rheumatoid arthritis during the period from Aug. 1982 to Dec. 1988. Following results were obtained. 1. Knee score increased from 37.8 to 76.9. 2. Tibio-femoral angle was corrected from 0.9° valgus to 5.3° valgus. 3. Conplications were peroneal nerve palsy in 3 knees, instability in 1 knee, tuberculous arthritis in 1 knee. 4. In 25 out of 31 knees, good functional results were obtained.
Adult ; Arthritis ; Arthritis, Rheumatoid ; Arthroplasty ; Arthroplasty, Replacement, Knee ; Congenital Abnormalities ; Humans ; Joints ; Knee ; Middle Aged ; Muscle, Skeletal ; Orthopedics ; Paralysis ; Peroneal Nerve ; Range of Motion, Articular ; Seoul ; Synovial Membrane

No abstract available.

BACKGROUND: Many studies have demonstrated that nitrous oxide diffuses into the cuffs of endotracheal tubes and increases cuff volumes and pressures. Such increments of cuff pressure maybe result in damage to the trachea. We evaluated the increase of intracuff pressure, volume and the statistical significance was analyzed with personal computer. METHODS: Fourty-nine patients ranging in age 37+/-15 years, in ASA physical status class 1~2 , they were 26 males and 23 females. They divided into two groups, group I(n=25) were anesthesia with nitrous oxide : oxygen (2 L/min : 2 L/min), group II were(n=24) anesthesia with nitrous oxide : oxygen (4 L/min : 2 L/min). The cuff pressure was measured every 30 minutes and compared with each others and group I and II. RESULTS: Our results suggest that a significant intracuff volume and pressure changes developed between two groups (p<0.05), more significant intracuff pressure changes occured at group II than group I (p=0.001) and significant increment changes according to time and different concentration of nitrous oxide between two groups (p<0.05). CONCLUSIONS: This study was conducted to determine the degree of intracuff pressure and volume changes during general inhalation anesthesia with different concentration of nitrous oxide. These results suggest that a nitrous oxide significantly increases cuff pressure and volume in a concentration and time related fashion.
Anesthesia ; Anesthesia, Inhalation* ; Female ; Humans ; Inhalation* ; Male ; Microcomputers ; Nitrous Oxide* ; Oxygen ; Trachea

A roentgenologic study of the position and mobility of the kidneys of 50 men and the same number of women at Kang Nam Sacred Heart Hospital were performed during the period from January 1980 through December 1981. The age of the subject were from 21 to 50. None of them had any pathologic conditions of urinary system. Followings are the results of this study: Subject erect 1. The cephalic pole of the right kidney of males is below L 1 more often than the cephalic polo of the left kidney. 2. The cephalic pole of the right kidney of females is below T 12 more often than the corresponding pole of the left kidney. 3. The cephalic pole of the right kidney is below T 12 more often in females than in males. 4. The caudal pole of the right kidney of females is below L 3 more often than the caudal pole of the left kidney. 5. The caudal pole of the right kidney of females is below L 3 more often than the corresponding pole of males. Subject Supine 6. The cephalic pole of the left kidney of females is more often above T 12 than that of the right. 7. The caudal pole of the right kidney of males is below L 3 more often than that of the left kidney. 8. The caudal pole of the right kidney of females is be1ow L 3 more often than that of the left. Relation to Interiliac Line 9. The caudal pole of the right kidney of males, erect, is below the interiliac line more often than the caudal pole of the left. 10. The caudal pole of the right kidney of males, erect, is below the interiliac line more often than the corresponding pole of the left kidney. Kidney Mobility 11. The excursion of the right kidney of females is longer than that of the right kidney of males. 12. The excursion of the right kidney of females is longer than that of the left kidney. 13. The excursion of the right kidney of males is longer than that of the left kidney.
Adult ; Female ; Heart ; Humans ; Kidney* ; Male

Testicular biopsy is mandatory in azoospermic men with normal sized testes to distinguish between ductal obstruction and spermatogenic failure as the cause of azoospermia. In men with poor semen quality or azoospermia and small testes, the results of a pathologic evaluation will rarely if ever alter therapy. However, the biopsy often assists in making a definitive diagnosis which helps the physician in giving the patient a prognosis and avoiding unnecessary treatment in irredeemable situation. We performed 25 cases of testicular biopsy in infertile men, procuring the results as below: 1. Testicular biopsy specimen were classified into 5 group histopathologically: germ cell aplasia, 6 cases (24%); spermatogenic arrest, 8 cases (32%); hypospermatogenesis, 5 cases (20%); peritubular or tubular fibrosis, 3 cases (12%); normal or obstructive, 3 cases (12%). 2. In 25 cases, 18 cases were azoospermia and 7 cases were oligospermia. 3. In 13 cases (52%), the lesions were localized both in the seminiferous tubule and in the interstitial tissue and in 9 cases (36%), the lesions were localized only in the seminiferous tubule, and 3 cases (12%)were normal.
Azoospermia ; Biopsy* ; Diagnosis ; Fibrosis ; Germ Cells ; Humans ; Infertility ; Infertility, Male* ; Male ; Male* ; Oligospermia ; Prognosis ; Semen Analysis ; Seminiferous Tubules ; Testis