1) This rare case of unilateral bifid ureter can not be found in the literature. 2) It has been located in the left mid ureter and O shaped in its form nominated O shaped bifid ureter by author 3) It is diagnosed on the basis of the IVP and R.G.P..
Ureter* ; Urography*

10 patients with blunt renal trauma have been studied and compared by the excretory urography and renal angiography in the Department of Urology, National Medical Center, Seoul, during the period of January 1976 through June 1977. The following results were obtained: 1) Renal angiography is a more specific diagnostic procedure than the excretory urography in detailing the extent of injury. And it provides more opportunity of a high salvage rate of injured kidney. 2) In a normal excretory urography, renal angiography need not do in deciding surgical management of renal injury. 3) The result of positive renal angiograms was especially great in patients showing any of the following urographic abnormalities; non-or poor visualization and extravasation of contrast media. 4) Surgical intervention was done in only one patient of renal thrombosis.
Angiography* ; Extravasation of Diagnostic and Therapeutic Materials ; Humans ; Kidney ; Seoul ; Thrombosis ; Urography* ; Urology

No abstract available.
Emergencies* ; Humans ; Prospective Studies*

This rare venous congenital anomaly has been diagnosed preoperatively in a 24-year-old female with complaints of the right flank and low back pain, and urinary frequency. In the I. V. P. the dilated upper right ureter forms a reversed "J" appearance. The right R.G.P. shows the "S"-shaped course of the ureter. The vena cavogram discloses crossing with the right R. G. P. at L3-4 intervertebral space level. 2.5cm. of strictured, postcaval segment of ureter is excised and end-to-end oblique anastomosis is done over splinting ureteral catheter. 4 months after the operation, the I. V. P. shows marked improvement of hydronephrosis and satisfactory drainage of urine compared with the preoperative films.
Drainage ; Female ; Humans ; Hydronephrosis ; Low Back Pain ; Retrocaval Ureter* ; Splints ; Ureter ; Urinary Catheters ; Young Adult

No abstract available.
Aortic Aneurysm, Abdominal* ; Ureter* ; Ureteral Obstruction*

Horseshoe adrenal gland is a rare congenital abnormality associated with multiple congenital anomalies that may involve the cardiovascular, central nervous, and genitourinary systems. In this report, we describe the sonographic findings of horseshoe adrenal gland in a newborn with right isomerism a frequently associated cardiovascular anomaly.
Adrenal Glands* ; Congenital Abnormalities ; Humans ; Infant, Newborn* ; Isomerism* ; Ultrasonography ; Urogenital System

One of the sequelae of spinal cord trauma which start soon after the onset of injury is the loss of the calcium from bone. Bone mineral and matrix resorption causes negative calcium balance, and eventually osteoporosis. Etidronate disodium(etidronate) is an oral diphosphonate compound known to reduce bone resorption through the inhibition of osteoclasic activity. Since continuous oral treatment with high doses of etidronate may lead to the impairment of bone mineralization and the cessation of bone remodeling, a ideal therapeutic regimen consist of the intermittent cyclical administration of the diphosphonate in a dose that inhibits bone resorption. To assess the effect of etidronate on bone metabolism and bone mineral density after spinal cord injury, we studied two groups of 7 spinal cord injury(SCI) patients with etidronate and 7 SCI patients without etidronate. Seven patients of treatment group received oral etidronate (5 mg/kg/day) for 2 weeks followed by a 10-week period in which no drugs were given. This sequence was repeated 4 times, for a total of 48 weeks. The results showed that the patients receiving etidronate had siginificant decrease in the serum osteocalcin(OC), urine deoxypyridinoline(D-PYD) level but no increase in their mean bone density. We can carefully conclude that intermittent cyclical therapy with etidronate siginificantly reduces bone metabolic rate and inhibit bone mineral loss on osteoporosis in spinal cord injury patients.
Bone Density ; Bone Remodeling ; Bone Resorption ; Calcification, Physiologic ; Calcium ; Etidronic Acid* ; Humans ; Metabolism ; Osteoporosis* ; Spinal Cord Injuries* ; Spinal Cord*

A clinical observation was made on the in-patient of injuries of genito-urinary tract in the Department of Urology, National Medical Center during the period from January, l97l to December, l976. The results were following: 1) Of 984 cases hospitalized, 80 cases were injury of genitourinary tract, giving a ratio of 8.1%. 2) Traffic accidents was the most frequent causes of the injury (SO.O%) and the next was fal1 down, iatrogenic, kick and blow etc. 3) The urethra was involved in the injuries in 29.0%, the bladder in 27.8% the kidney in 23.3%, external genitalia in 13.3%, ureter in 6.6%. 4) Average admission date of each organ was following: the longest organ was urethra (42. 9 days). the next were ureter. bladder. kidney. externa1 genitalia. 5) The age ranged from 5 years to 69 years. the most prevalent age range was 3rd decade (27.5%) and the next was 4th decade (23.8%)
Accidents, Traffic ; Genitalia ; Kidney ; Ureter ; Urethra ; Urinary Bladder ; Urology

We designed a study to evaluate the change of the proprioceptive function with joint position sense (JPS) during 1 year follow-up period after anterior cruciate ligament (ACL) reconstruction using hamstring autograft. Thirty-eight men who underwent ACL reconstruction were tested for International Knee Documentation Committee subjective knee score, Tegner activity score, Lysholm score, KT-2000 arthrometer, isokinetic strength test, functional performance test (carioca, co-contraction, shuttle run test, one-hop test) and JPS at preoperation, 6 months, and 12 months postoperation. The contralateral healthy knee was used as control. There were no significant differences of JPS between the involved knee and healthy knee at any time period. Repeated measures analysis of variance of the active JPS revealed that there was no significant difference during the follow up periods. The change patterns of passive JPS of extension and flexion were out of accordance with the improving clinical status following ACL reconstruction. Most of the clinical parameters did not show the significant correlation with active and passive JPS at any time period. In conclusion, JPS does not reflect the change of proprioceptive function following ACL reconstruction.
Anterior Cruciate Ligament ; Anterior Cruciate Ligament Reconstruction ; Follow-Up Studies ; Humans ; Joints ; Knee ; Male ; Proprioception

The purpose of this study was to establish the normal values of tendon reflex in normal Korean adults. Ankle tendon reflex(ATR), patellar tendon reflex(PTR) and medial hamstring tendon reflex (MHTR) responses were recorded in 96 limbs of 48 normal Korean adults by delivering tendon taps with an electric reflex hammer. Latency to the onset of the triggered response, peak to peak amplitude and duration of the wave were measured after several repetitions. Minimum latency and duration of the elicited response were chosen to calculate normal means. Side differences were also evaluated. As amplitude showed a marked interindividual variation and side to side variation, lowest recorded value was selected to represent the lower limit of normal. Mean values of latency, duration and amplitude were 30.27?3.18 msec, 11.05?1.08 msec and 1.98?0.89 mV for ATR, 16.37?1.58 msec, 20.63?1.68 msec and 1.56?0.76 mV for PTR and 20.25?2.14 msec, 10.95?1.57 msec and 0.71?0.56 mV for MHTR. Age, height, and leg length showed significant correlation with the latency of ATR, PTR and MHTR latency(P<0.001). We believe our results can be used as guideline researches in clinical practice.
Adult* ; Ankle ; Extremities ; Humans ; Leg ; Patellar Ligament ; Reference Values* ; Reflex ; Reflex, Stretch* ; Tendons*