1.A Case of Anomalous Termination of Common Bile duct into Duodenal Bulb with the Gall Bladder Empyema.
Chan Sup SHIM ; Joo Young CHO ; Jun JEONG ; Heung Yeal BYUN ; Sung Eun LEE ; Young Soo CHUN
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):105-110
Although it is commonly appreciated that there is an inordinately large number of anormalies associated with the excretory ducts of the liver, comparatively little attention has been paid to the position of the orfice of the common bile duct into the duodenum. But, obiviously the site of entrance of the common bile duct into the duodenum becomes of great importance to the endoscopist, radiologist, and surgeon in diseases of the extra-hepatic biliary tract diag-nostically and therapeutically. We report 'a case of anomalous termination of the common bile duct into the duodenal bulb with the gall bladder empyema.
Biliary Tract
;
Cholecystitis*
;
Common Bile Duct*
;
Duodenum
;
Liver
2.Congenital coronary arteriovenous fistula:right coronary artery right venttricle: report of two cases.
Young Chul YOON ; Hyun PARK ; Jung Uk BYUN ; Bon Il GOO ; Yong PARK ; Hong Sup LEE ; Chang Ho KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(8):638-642
No abstract available.
Coronary Vessels*
3.Familial Cardiac Myxoma with Acromegaly(Complex Myxoma).
Seok Min KANG ; Namsik CHUNG ; Young Sup BYUN ; Sejoong RIM ; Byung Chul CHANG ; Sang Ho CHO ; Kyung Hoon HAN
Korean Circulation Journal 1997;27(4):442-448
BACKGROUND: Cardiac myxomas are rare benign tumors of the heart. Although cardiac myxomas are histologically benign, they may be lethal because of their strategic position. Most cases are sporadic, but rare familial occurrence has been described. PATIENTS AND RESULTS: The left atrial myxoma with cerebral embolism was diagnosed in the 21 year old female and the left atrial myxoma with acromegaly due to pituirary adenoma was subsequently diagnosed in her 19 year old male sibling. The myxoma in the male patient was successfully excised. CONCLUSION: Echocardiography can be used effectively in the diagnosis of atrial myxoma, detection of its possible recurrence, and screening other members of the family.
Acromegaly
;
Adenoma
;
Diagnosis
;
Echocardiography
;
Female
;
Heart
;
Humans
;
Intracranial Embolism
;
Male
;
Mass Screening
;
Myxoma*
;
Recurrence
;
Siblings
;
Young Adult
4.Free flap reconstructions for head and neck cancer.
Sang Dug JEUNG ; Young Jin KIM ; Tae Woo LEE ; Chang Sup SEONG ; Jin Suk BYUN ; June Sik PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(6):1307-1314
No abstract available.
Free Tissue Flaps*
;
Head and Neck Neoplasms*
;
Head*
5.Multiple Calcifying Fibrous Pseudotumors in the Pleura : A case report.
Chang Young LEE ; Chun Sung BYUN ; In Kyu PARK ; Kyung Young CHUNG ; Yoo Hwa HWANG ; Hyo Sup SHIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2009;42(5):666-669
Calcifying fibrous pseudotumors (CFP) are rare soft tissue tumors that have unique histopathologic features characterized by a dense hyalinized collagenous tissue interspersed with benign spindle cells, lymphoplasmacytic infiltrate, and psammomatous or dystrophic calcifications. We report here on a case of calcifying fibrous pseudotumors in the pleura and provide a literature review.
Collagen
;
Hyalin
;
Pleura
;
Pleural Diseases
6.CT and MR Findings of Placental Site Trophoblastic Tumor: A Report of Two Cases.
Kang Hoon LEE ; Kyung Sup SONG ; Jae Young BYUN ; Seog Nyeon BAE ; Hyeon Sook KIM
Journal of the Korean Radiological Society 1999;40(1):137-140
Placental site trophoblastic tumor(PSTT) is a very rare form of gestational trophoblastic disease; weencountered two cases. MR imaging of the first patient revealed a solid uterine mass, slightly hyperintense tonormal myometrium on T1-weighted images and hyperintense on T2-weighted images. After intravenous gadoliniuminfusion, the mass was more enhanced than normal myometrium, and PSTT was confirmed pathologically after totalhysterectomy. In the second patient, PSTT was proven pathologically after laparoscopic left adnexectomy and wedgeresection of the right ovary. Postoperative enhanced CT scans revealed a well-enhanced right ovarian mass andextensive metastasis to the liver, pancreas, both adrenals, the stomach, lung and brain, but no mass was detectedin the uterus. Many of these metastatic lesions were infiltrating low density masses associated with highlyenhanced tubular or serpiginous structures, while some were of very high density.
Animals
;
Brain
;
Female
;
Gestational Trophoblastic Disease
;
Humans
;
Liver
;
Lung
;
Magnetic Resonance Imaging
;
Mice
;
Myometrium
;
Neoplasm Metastasis
;
Ovary
;
Pancreas
;
Stomach
;
Tomography, X-Ray Computed
;
Trophoblastic Tumor, Placental Site*
;
Trophoblasts
;
Uterus
7.Impact of Aerobic Exercise Training on Endothelial Function in Acute Coronary Syndrome.
Chul KIM ; Hee Eun CHOI ; Heejin JUNG ; Seong Hoon KANG ; Jeong Hoon KIM ; Young Sup BYUN
Annals of Rehabilitation Medicine 2014;38(3):388-395
OBJECTIVE: To confirm the improvement in arterial endothelial function by aerobic exercise training, flow-mediated dilation (FMD) was tested by ultrasonography. METHODS: Patients who received percutaneous coronary intervention due to acute coronary syndrome were included. The patients who participated in cardiac rehabilitation (CR) program were categorized as the CR group, and others who did not participate as the control. Both groups underwent initial graded exercise test (GXT) and FMD testing. Subsequently, the CR group performed aerobic exercise training sessions. Patients in control only received advice regarding the exercise methods. After six weeks, both groups received follow-up GXT and FMD testing. RESULTS: There were 16 patients in each group. There were no significant differences in the general characteristics between the groups. The VO2peak was 28.6+/-4.7 mL/kg/min in the CR group and 31.5+/-7.4 mL/kg/min in the control at first GXT, and was 31.1+/-5.1 ml/kg/min in the CR group and 31.4+/-6.0 ml/kg/min in the control at the follow-up GXT in six weeks. There was a statistically significant improvement in VO2peak only for CR group patients. FMD value was 7.59%+/-1.26% in the CR group, 7.36%+/-1.48% in the control at first and 9.46%+/-1.82% in the CR group, and 8.31%+/-2.04% in the control after six weeks. There was a statistically significant improvement in FMD value in the CR group. CONCLUSION: According to the results of GXT and FMD testing, six-week exercise-based CR program improved VO2peak and endothelial functions significantly. Thus, exercise-based CR program is necessary in patients with coronary artery disease.
Acute Coronary Syndrome*
;
Coronary Artery Disease
;
Endothelial Cells
;
Exercise Test
;
Exercise*
;
Follow-Up Studies
;
Humans
;
Percutaneous Coronary Intervention
;
Rehabilitation
;
Ultrasonography
8.CT Features of Peritonitis associated with Continuous Ambulatory Peritoneal Dialysis.
Ji Young YUN ; Jae Young BYUN ; Sang Hoon LEE ; Tae Ahn KWON ; Yeon Kil KIM ; Young Ok KIM ; Kyung Sup SONG
Journal of the Korean Radiological Society 1999;40(1):95-98
PURPOSE: To evaluate the CT findings of peritonitis associated with continuous ambulatory peritonealdialysis(CAPD). MATERIALS AND METHODS: We retrospectively analyzed CT scans of 14 symptomatic patients withperitonitis after CAPD. Diffuse abdominal pain was present in 11, fever in two, and abdominal mass with vomitingin one. The mean duration of CAPD ranged from 10 months to 5 years(mean : 3.9 years). On abdominal CT, weevaluated the presence and location of ascites, bowel wall thickening, cocoon formation, the pattern ofenhancement of peritoneal thickening, the presence of calcifications in the peritoneum, and mesenteric and omentalchange. RESULTS: On enhanced CT, multiloculated ascites was observed in all cases(n=14) ; it was located mainlyin the pelvic cavity with small multi-loculated fluid collections in the peritoneal cavity (n=13), including thelesser sac(n=3). In one patient, ascites was located in the space between the greater omentum and anteriorperitoneal surface. CT showed ileus in 12 cases, small bowel wall thickening in 11, and cocoon formation in five.Uneven but smooth thickening of the peritoneum, with contrast enhancement, was seen in eight cases, and in five ofthese, peritoneal thickening was more prominent in the anterior peritoneum. Other findings included reticularopacity in two cases, hematoma of the rectus muscle in one, and umbilical hernia in one. CONCLUSION:Multiloculated fluid collection, ileus, small bowel wall thickening, uneven but smooth peritoneal thickening, andcocoon formation appear to be CT features of CAPD peritonitis.
Abdominal Pain
;
Ascites
;
Dialysis
;
Fever
;
Hematoma
;
Hernia, Umbilical
;
Humans
;
Ileus
;
Omentum
;
Peritoneal Cavity
;
Peritoneal Dialysis, Continuous Ambulatory*
;
Peritoneum
;
Peritonitis*
;
Retrospective Studies
;
Tomography, X-Ray Computed
9.Intravenous leiomyomatosis with intracardiac extension: intracardiac leiomyomatosis-case report and literature review.
Jae Hun JUNG ; Pil Ki MIN ; So Young PARK ; Young Sup BYUN ; Geu Ru HONG ; Se Joong RIM ; Won Heum SHIM
Korean Journal of Medicine 2003;65(2):256-260
Intravenous leiomyomatosis is a rare benign vascular tumor defined as the extension into venous channels of a histologically benign smooth muscle tumor arising either from a uterus or from the walls of uterine vessels, and about 10% spread to the heart. The treatment of choice is complete resection of the tumor. Hormonal therapy should be considered in cases of unresectable residual tumor. A 46-year-old woman was admitted for abdominal discomfort and pain. She was found to have intravenous leiomyomatosis of the uterus with extension into inferior vena cava and right atrium. The patient underwent surgery employing simultaneous sternotomy and laparotomy. Radical excision was achieved using cardiopulmonary bypass. We herein describe a patient in whom complete removal of intravenous leiomyomatosis with cardiac extension was successfully performed.
Cardiopulmonary Bypass
;
Female
;
Heart
;
Heart Atria
;
Humans
;
Laparotomy
;
Leiomyomatosis*
;
Middle Aged
;
Neoplasm, Residual
;
Smooth Muscle Tumor
;
Sternotomy
;
Uterus
;
Vena Cava, Inferior
10.Massive Pulmonary Thromboembolism Associated With Renal Vein Thrombosis While Using Oral Contraceptives.
Gun Hi KANG ; Seung Gu KIM ; Hye Young LEE ; Jun Jae KIM ; Hyun PARK ; Na Na BAIK ; Young Sup BYUN ; Byoung Kwon LEE
Korean Circulation Journal 2008;38(11):618-621
Pulmonary thromboembolism (PTE) originating from a renal vein thrombosis (RVT) is very rare, especially in relatively healthy young women. The patient described herein presented with a syncope-associated massive PTE. She was previously healthy, except for termination of an ectopic pregnancy with methotrexate 4 months before. The only medication she was taking was an oral contraceptive (OC), which was started 3 months before the PTE. She had no family history of venous thromboembolism (VTE) or any other underlying risk factors. We report the case of a woman who had a PTE originating from a RVT associated with OC use after an ectopic pregnancy.
Contraceptives, Oral
;
Female
;
Humans
;
Methotrexate
;
Pregnancy
;
Pregnancy, Ectopic
;
Pulmonary Embolism
;
Renal Veins
;
Risk Factors
;
Thrombosis
;
Venous Thromboembolism