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Acute Epididymo-orchitis in Newborn Infant.

Mi So JEONG ; Eun Ho LEE ; Youn Jeong SHIN ; Soo Jin LEE ; Ju Hyung KANG ; Sung Kyu LEE ; Chur Woo YOU ; Ho Jin PARK

Journal of the Korean Society of Neonatology.2005;12(1):133-137.

Acute scrotum in newborn infants is unusual and it is even more unusual with infectious origin. The causes of acute scrotum in newborn infants include hydrocele, testicular torsion, torsion of an appendix testis, epididymo-orchitis, meconium peritonitis, testicular tumor, scrotal hematoma and reducible or incarcerated inguinal hernia. Because of lack of typical symptoms and signs, the correct diagnosis of surgical emergencies such as testicular torsion and incarcerated inguinal hernia are often delayed. Recently, color Doppler ultrasonography and testicular scans are being used for differential diagnosis of acute scrotum, although the latter is often technically unsatisfactory due to small size of the testicles in newborn infants. We report a seven day-old male infant with acute scrotum who was diagnosed as acute epididymo-orchitis by color Doppler ultrasonography, and saved from unnecessary surgical interventions. Although color Doppler ultrasonography can not give diagnostic clue for acute scrotum, it can reduce the need for explorative surgery.
Appendix ; Diagnosis ; Diagnosis, Differential ; Emergencies ; Hematoma ; Hernia, Inguinal ; Humans ; Infant ; Infant, Newborn* ; Male ; Meconium ; Peritonitis ; Scrotum ; Spermatic Cord Torsion ; Testicular Hydrocele ; Testis ; Ultrasonography, Doppler, Color

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A Case of Meconium Hydrocele Presenting as Inguinal Mass in a Female Newborn.

Ja Young KIM ; Jun Ho LIM ; Jin Young JUNG ; Eun Ryoung KIM ; Kwang Chan LEE ; You Mee KANG ; Jeong Joo WOO

Journal of the Korean Society of Neonatology.2005;12(1):127-132.

Meconium peritonitis results from in-utero perforation of gastrointestinal tract, with subsequent leakage of meconium into the peritoneal cavity. Patent processus vaginalis of male or female fetus may lead to migration of meconium into inguinal canal, and these infants may present meconium filled hydroceles at birth. The predominance of meconium hydrocele in the male infant may be due to the obliteration of processus vaginalis occuring later than in the female fetus. We report a rare case of bilateral meconium hydrocele in the female newborn, which mimic clinical symptoms and ultrasonographic findings of incarcerated hernia.
Female* ; Fetus ; Gastrointestinal Tract ; Hernia ; Humans ; Infant ; Infant, Newborn* ; Inguinal Canal ; Male ; Meconium* ; Parturition ; Peritoneal Cavity ; Peritonitis

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A Case of Simple Renal Cortical Cyst in Neonate.

Yong Hee HONG ; Woo Ryoung LEE

Journal of the Korean Society of Neonatology.2005;12(1):123-126.

We report a case of simple renal cortical cyst in neonate with review of literature. A female infant weighing 3, 400 g was delivered. Because of single umbilical artery found on physical examination, abdominal ultrasonogram was performed. A 3 mm sized renal cortical cyst was found in right kidney, but no associated symptoms or signs including renal functions were found. Follow up ultrasonogram was performed a month later and it was spontaneously disappeared.
Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn* ; Kidney ; Physical Examination ; Single Umbilical Artery ; Ultrasonography

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A Case of Congenital Agenesis of the Gallbladder without Biliary Atresia associated with Duodenal Web.

Eui Jung ROH ; Eun Young CHO ; Jae Woo LIM ; Eun Jung CHEON ; Kyoung Og KO ; Woo Kyun MOK

Journal of the Korean Society of Neonatology.2005;12(1):117-122.

Congenital absence of the gall bladder without extrahepatic biliary atresia is an extremely rare congenital malformation with a reported incidence ranging between 0.01 and 0.02%. It is thought to be occurred from failure of the gallbladder bud to develop in utero and frequent association with other malformations. Agenesis can be randomly discovered at autopsy or operations for symptoms suggestive of biliary tract disease. The authors report a case of agenesis of the gallbladder without extrahepatic biliary atresia in a neonate which was incidentally found at laparotomy for presumed duodenal obstruction, with a review of the literature.
Autopsy ; Biliary Atresia* ; Biliary Tract Diseases ; Duodenal Obstruction ; Gallbladder* ; Humans ; Incidence ; Infant, Newborn ; Laparotomy ; Urinary Bladder

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A Symptom-free Congenital Sliding Hiatal Hernia Diagnosed within 24 Hours after Birth.

Tae Ho MA ; Kyung Ah KIM ; Sun Young KO ; Yeon Kyung LEE ; Byung Hee HAN ; Son Moon SHIN

Journal of the Korean Society of Neonatology.2005;12(1):112-116.

The classification of hiatal hernia is made by the position of the gastroesophageal junction. Although sliding hiatal hernia (type 1) is the most common type of hiatal hernia, it is very uncommon to be found in early infancy because it is usually symptom free. We report a case of type 1 hiatal hernia of newborn infant who had diagnosed by simple chest radiography taken because of transient tachypnea of the newborn.
Classification ; Esophagogastric Junction ; Hernia, Hiatal* ; Humans ; Infant, Newborn ; Parturition* ; Radiography ; Thorax ; Transient Tachypnea of the Newborn

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Giant Neonatal Hemangioendothelioma of the Liver Diagnosed by 99mTc-RBC Scintigraphy.

Hyun Joo JUNG ; Jae Eun YU ; Ki Soo PAI ; Mi Sun AHN ; Woo Cheol JUNG ; Moon Sung PARK ; Jeong HONG ; Seok Nam YOON

Journal of the Korean Society of Neonatology.2005;12(1):105-111.

Infantile hemangioendothelioma (IHE) is a benign tumor of the liver composed of anastomosing vascular channels lined by plump endothelial cells. The major clinical findings of IHE are abdominal mass, hepatomegaly, cutaneous hemangioma, congestive heart failure, anemia and disseminated intravascular coagulopathy. Precise diagnosis of IHE is crucial because medical therapies using steroid and/or interferon can be tried unless there are grave compressive symptoms. Along with CT scan and MRI studies, scintigraphic evaluation with 99mTc-RBC offers an accurate method of identification of these lesions, and allows differentiation from other common primary or secondary hepatic masses. We report two cases of giant IHE of the liver those were diagnosed with 99mTc- RBC scan and confirmed with pathologic evaluation after surgical removal.
Anemia ; Diagnosis ; Endothelial Cells ; Heart Failure ; Hemangioendothelioma* ; Hemangioma ; Hepatomegaly ; Interferons ; Liver* ; Magnetic Resonance Imaging ; Radionuclide Imaging* ; Tomography, X-Ray Computed

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A Case of Neonatal Suppurative Submandibular Sialadenitis: Complicated with Multiple Deep Neck Abscess.

Yu Jin JUNG ; Chang Hyun JUNG ; Kyung Hoon YOUN ; Young Sil PARK ; Min Hyuk RYU ; Dong Jin LEE

Journal of the Korean Society of Neonatology.2005;12(1):100-104.

Isolated submandibular suppurative sialadenitis occurring in the neonatal period is extremely rare. At present, only 15 cases of isolated submandibular sialadenitis in the neonatal period have been reported in the literature. We report a rare case of multiple deep neck abscess in association with both submandibular suppurative sialadenitis in a term neonate.
Abscess* ; Humans ; Infant, Newborn ; Neck* ; Sialadenitis*

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A Case of Severe Neonatal Hypertension in Twin-Twin Transfusion Syndrome.

Soo Kyoung PARK ; Ji Hyun PARK ; Sung Mi KIM ; Jin Hwa JUNG ; Kil Hyun KIM ; Jung Sil PARK

Journal of the Korean Society of Neonatology.2005;12(1):93-99.

Twin-twin transfusion syndrome is attributed to an unbalanced blood flow between the donor and the recipient twin, but the exact pathophysiology remains incompletely understood. Despite active prenatal management, fetal twin-twin transfusion syndrome is still associated with a substantial residual perinatal mortality and morbidity. The donor twin progressively becomes anemic, growth restricted, oliguric and has oligohydramnios, where as the recipient becomes plethoric, polyuric and has polyhydramnios and in the most severe cases develops cardiomegaly, congestive heart failure and hypertension. We report a case of severe systemic hypertension developed in recipient twin.
Cardiomegaly ; Female ; Heart Failure ; Humans ; Hypertension* ; Oligohydramnios ; Perinatal Mortality ; Polyhydramnios ; Pregnancy ; Tissue Donors

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Detection and Diagnosis of Neonatal Seizures.

Baik Lin EUN

Journal of the Korean Society of Neonatology.2009;16(1):1-9.

Seizures are the most common clinical manifestation of a neurologic insult during the neonatal period. Neonatal seizures continue to present a diagnostic and therapeutic challenge to pediatricians because the recognition and classification of neonatal seizures remains problematic, particularly when clinicians rely only on clinical criteria. Neonatal seizures can permanently disrupt neuronal development, induce synaptic reorganization, alter plasticity, and "prime" the brain to increased damage from seizures later in life. Since neonatal seizures, particularly status epilepticus, predict an increased risk for later epilepsy and other neurologic sequelae, accurate diagnoses are needed for aggressive antiepileptic drug use. The present review summarizes the pathophysiology, etiology, and diagnosis of neonatal seizures.
Brain ; Epilepsy ; Humans ; Infant, Newborn ; Neurons ; Plastics ; Seizures ; Status Epilepticus

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A Case of Congenital Myotonic Dystrophy Diagnosed by Molecular Genetics.

So Hee KIM ; Eun Young KIM ; Sang Kee PARK ; Sang Joon CHOI ; Sung Chul LIM

Journal of the Korean Society of Neonatology.2006;13(1):194-198.

Congenital myotonic dystrophy is a progressive degenerative disease of the neuromuscular system, usually inherited in an autosomal dominant fashion. Affected infant presents with varying degrees of respiratory failure, often necessitating immediate and prolonged ventilatory assistance. An expression of a CTG (cystosine-thymine-guanine) repeat in the 3'-unsaturated region of a protein kinase gene contributes to the development of myotonic dystrophy. We experienced a case of congenital myotonic dystrophy in a male neonate with respiratory difficulty, hypotonia and difficulty in sucking and swallowing. His mother had mild manifestations of adult type myotonic dystrophy. PCR analysis revealed that CTG repeats in the myotonic dystrophy gene of the neonate and the mother were about 800 and 100 respectively.
Adult ; Deglutition ; Humans ; Infant ; Infant, Newborn ; Male ; Molecular Biology* ; Mothers ; Muscle Hypotonia ; Myotonic Dystrophy* ; Polymerase Chain Reaction ; Protein Kinases ; Respiratory Insufficiency

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