An endoscopically guided primary catheterization under local anesthesia was performed as an initial management of 11 patients with ant. urethral rupture, beginning Dec., 1985. According to the degree and extent of the trauma, endoscopically viewed, the duration of indwelling of the catheter varied from 8 to 30 days. Of the 9 partial ruptures, 7 have excellent results without stricture and 2 have short urethral stricture of 3mm length. Of the 11 ruptures, 2 were complete and resulted in 5mm length of short stricture, which can be easily treated with Endoscopic Internal Urethrotomy.
Anesthesia, Local ; Ants ; Catheterization* ; Catheters* ; Constriction, Pathologic ; Humans ; Rupture* ; Urethral Stricture

A papillary adeno-carcinoma of the renal pelvis is very rare tumor and mostly diagnosed by histopathologic findings. A 10-years-old female was admitted to Fatima Hospital with Rt. flank pain and intermittent gross hematuria.Herein, we report a case of papillary adeno-carcinoma of the renal pelvis.
Adenocarcinoma ; Female ; Flank Pain ; Humans ; Kidney Pelvis*

Idiopathic midline destructive disease(IMDD) is a subgroup of midline granuloma syndrome, which is a clinical entity characterized by a relentless uilcer ation of the upper air way involving the nose, the palate, and the face, with a fatal outcorne. A 32 year-old male had symptoms of nasal obstruct.ion and rhinorrhea for about 4 months prior to visiting the hospital ad was referred to our Department for evaluation of a verely destruct.ive skin lesions on his face. The patient, revealed unique clinopatholcgic featurs compat with IMDD. These were : 1) prescence of locally destructive lesion which were restricted to the upper respiratory tract. 2) abscence of systemic disease durin the follow up peroid, 3) The histologic features consisted of acute and chronic inflarnmation with a variable dearel of necrosis on the examination of repeated biopsy specimens, 4) inabiliy to demonst rate an infectious causative organisms on repeated laboratory tests.
Adult ; Biopsy ; Follow-Up Studies ; Granuloma* ; Humans ; Male ; Necrosis ; Nose ; Palate ; Respiratory System ; Skin

Ganglioneuromas of retroperitoneal cavity which not originate from adrenal gland are very rare tumor, and usually recognized incidental to some other aliment or on a routine physical examination. Ganglioneuromas are generally considered to be the mature form of a triad of tumors arising from neural crest tissue which include malignant neuroblastoma and ganglioneuroblastoma. We report one case of retroperitoneal non-adrenal ganglioneuroma with review of literature.
Adrenal Glands ; Ganglioneuroblastoma ; Ganglioneuroma* ; Neural Crest ; Neuroblastoma ; Physical Examination

Ossifying fibroma is a relatively rare benign primary bone tumor which arises typically within the jaw bones and only rarely affects the long bones. In 1966, Kempson first described ossifying fibroma of the long bones because the lesion has a histologic pattern like the ossifying fibroma of the jaw. This rare lesion resembles monostotic fibrous dysplasia but can be differentiated from it on histologic and clinical grounds. Histologically, ossifying fibroma is characterized by osteoblasts rimming spicules of bone within a fibrous stroma with evidence of lamellar transformation of bone, and clinically by frequent recurrence and aggressive progression of the lesion. Because of its rarity, we present a case of ossifying fibroma which arised in the right tibia of a 34 month old boy.
Fibroma ; Fibroma, Ossifying ; Fibrous Dysplasia, Monostotic ; Humans ; Jaw ; Male ; Osteoblasts ; Recurrence ; Tibia

Alveolar Process ; Anesthesia, Local ; Cytoplasm ; Eosinophils ; Female ; Fetus ; Gingiva ; Gingival Neoplasms ; Granular Cell Tumor ; Humans ; Hyperplasia ; Infant ; Infant, Newborn ; Jaw ; Male ; Maxilla ; Nursing ; Parturition ; Recurrence ; Ultrasonography

PURPOSE: These days, airline traffic is so developed that the globe has become much smaller and interest in fear of passenger-flight crashes is increasing. Using the opportunity offered by the Kimhae airline disaster, the author studied the relation of the injury mechanism & the seat-position to the injury severity in order to provide helpful information for use in other situations. METHODS: The author performed a retrospective analysis and compared survivors (37 persons) with deaths (129 persons) in the crash of Chinese passenger-flight B767-200 approaching Kimhae airport on April 15, 2002. RESULTS: Most of the survivors were seated in the rear of the airplane while most of those who died were in the front. Thus, a definite correlation exists between seat position in the aircraft and the injury severity. The deceleration force generated during a flight crash is sufficient to induce fatal injury. CONCLUSION: Most flight crashes are due to CFIT (controlled flight into terrain) accidents which are caused by the pilot being insensible to safety. This time, it was also the case. The author wishes it not to be the case next time.
Aircraft ; Airports* ; Asian Continental Ancestry Group* ; Deceleration ; Disasters ; Gyeongsangnam-do* ; Humans ; Retrospective Studies ; Survivors

BACKGROUND: To decide the optimal antibiotics and application of chest tube, examination of pleural fluid is fundamental in the management of empyema. Some criteria for drainage of pleural fluid have been recommended but some controversies have been suggested. Recently, newer radiologic methods including ultrasound and computed tomography scanning, have been applied to the diagnosis and management of pleural effusions. We undertook a retrospective analysis of 30 patients with pleural effusion who had CT scans of the chest in order to apply the criteria of Light et at retrospectively to patients with loculation and to correlate the radiologic appearance of pleural effusions with pleural fluid chemistry. METHOD: We analyzed the records of 30 out of 147 patients with pleural effusion undergoing chest CT scans. RESULTS: 1) Six of the pleural fluid cultures yielded gram negative organisms and three anaerobic bacterias and one Staphylococcus aureus and one non-hemolytic Streptococci. No organism was cultured in nineteen cases(63.0%). 2) The reasons for taking chest CT scans were to rule out malignancy or parenchymal lung disease(46.7%), Poor response to antibiotics(40.0%), hard to aspirate pleural fluid(10.0%) and to decide the site for chest tube insertion(3.3%). 3) There was no significant correlations between ATS stages and loculation but there was a tendency to Inoculate in stage III. 4) There was a significant inverse relationship between the level of pH and loculation(P<0.05) but there appeared to be no relationship between pleural fluid, LDH, glucose, protein, loculation and pleural thickening. 5) In 12 out of 30, therapeutic measures were changed according to the chest CT scan findings. CONCLUSION: We were unable to identify any correlations between the plerual fluid chemistry, ATS stages and loculations except pH, and we suggest that tube thoracotomy should be individualized according to the clinical judgement arid serial observation. All patients with empyema do not need a chest CT scan but a CT scan can provide determination of loculation, guiding and assessing therapy which should decrease morbidity and hospital stay.
Anti-Bacterial Agents ; Bacteria, Anaerobic ; Chemistry ; Chest Tubes ; Diagnosis ; Drainage ; Empyema* ; Glucose ; Humans ; Hydrogen-Ion Concentration ; Length of Stay ; Lung ; Pleural Effusion ; Retrospective Studies ; Staphylococcus aureus ; Thoracotomy ; Thorax* ; Tomography, X-Ray Computed* ; Ultrasonography

PURPOSE: To evaluate the risk factors of sliding after internal fixation with sliding compression hip screw in stable intertrochanteric fracture of the femur. MATERIALS AND METHODS: From March 2000 to April 2003, 61 stable intertrochanteric fractures (Kyle-Gustilo type II) were treated operatively with sliding compression hip screws. The patients were 40 females and 21 males with an average age of 74 (range, 54~99). We measured vertical and horizontal shortening in regard to age, sex, bone mineral density, neck-shaft angle, cancellous bone defect, and the existence of lessor trochanter fracture on postoperative 6 months. RESULTS: The average vertical shortening was 4.1 mm (0~22 mm) and the average horizontal shortening was 7.3 mm (0~30 mm). Age, sex, bone density and neck-shaft angle were not significantly related with vertical and horizontal shortening (p>0.05). Vertical shortening was significantly greater in the group with cancellous bone defect and in the group without lesser trochanter fracture (p<0.05). CONCLUSION: Proper management for fracture site and fixation was needed to make it stable because the stable intertrochanteric fracture with cancellous bone defect and intact lesser trochanter could be induced into unexpected sliding.
Bone Density ; Female ; Femur* ; Hip ; Hip Fractures ; Humans ; Male ; Risk Factors

Herpes zoster(HZ) is well known as a benign viral infection affecting the sensory nerves. That this disease may also cause motor paralysis is less well known. We performed this study to evaluate the exact prevalence of motor involvement and to compare the extent of EMG abnormality with that of skin lesions. Ninety patients with HZ who did not sho w clinical motor weakness except 4 patients with Ramsay-Hunt syndrome were studied prospectively for 2 years using EMG which is generally known to be very sensitive method for detection of motor involvement. The results turned out as follows. I.. In patients with Herpes zoster, motor involvement(denervation m EMG study) is 56.67%(51/90 patients) and subclinical motor involvement is 54.65%(47/86 patients). 2. There was no statistically significant difference m the rates of motor involvement among the cranial, cervical, thoracic & lumbosacral regions. 3. There was no statistically significant difference in the rates of motor involvement between the male and female, although the positivity were higher in male. 4. The subclnical motor involvement was gradually increased by aging, as seen in clinical motor paralysis of other report. 5. There was significant statistic difference between the number of dermatome involved by skin lesion(mean 1.88) and that of myotome with motor involvement (mean 2.55). In conclusion, it is suggested that subclnical motor involvement in Herpes zoster is rather frequent and extensive than generally expected.
Aging ; Female ; Herpes Zoster* ; Humans ; Lumbosacral Region ; Male ; Paralysis ; Prevalence ; Prospective Studies ; Skin