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Sudden Pulseless Ventricular Tacchycardia during the Emergence of a Child after the General Anesthesia, and Suspected Viral Myocarditis.

In Suk JEON ; Jong Hyun LEE ; Sang Baek KIM ; Dong Gi LEE ; Sang Chul BAE

Soonchunhyang Medical Science.2011;17(2):168-171.

A 10-year-old female child was underwent the tonsillectomy and adenoidectomy. She was relieved from the upper respiratory tract infection about 1 week before the operation. Her heart rate was recorded 100 to 110 per minute at the preanesthetic period, and then increased to about 140 per minute during the operation. We speculated that tacchycardia resulted from the inhalation anesthesia of sevoflurane as other common cases, so we didn't consider it as a serious problem. But the taccycardia was not relieved after the termination of anesthesia, and after the extubation, it was severely and rapidly aggravated to the ventricular tacchycardia with the circulatory collapse during the emergence period. After the rapid defibrillation and the chest compression, her resuscitation was successfully finished. We suspected her event was derived from the childhood cardiomyopathy, especially the viral myocarditis. So we reviewed viral myocarditis and focused a new aspect of childhood cardiac disease and screening.
Adenoidectomy ; Anesthesia ; Anesthesia, General ; Anesthesia, Inhalation ; Cardiomyopathies ; Cardiopulmonary Resuscitation ; Child ; Female ; Heart Diseases ; Heart Rate ; Humans ; Mass Screening ; Methyl Ethers ; Myocarditis ; Pediatrics ; Respiratory Tract Infections ; Resuscitation ; Shock ; Tachycardia, Ventricular ; Thorax ; Tonsillectomy

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A Case of Desmoplastic Malignant Mesothelioma.

Sang Woo PARK ; In Jae OH ; Young Chul KIM ; Sang Yun SONG ; Mi Sun YOON ; Song CHOI ; Yoo Duk CHOI

Soonchunhyang Medical Science.2011;17(2):164-167.

Malignant mesothelioma (MM) is a rare tumor that associated with asbestos exposure. For the reliable diagnosis, the adequate representative tissue samples are essential for the histology and immunohistochemical staining. We report a case of desmoplastic malignant mesothelioma (DMM), accounting for only 5 to 10% of all MM and having poor prognosis. A 76-year-old male visited emergency room presenting with chest pain. Chest computed tomography showed focal lobulated pleural enhancing mass in posterior aspect of left upper lobe. After video-assisted thoracoscopic surgery and several immunohistochemical stains, we could diagnose as DMM. The patient refused chemotherapy, but received analgesics and palliative radiation for the painful back area. Subsequently, he was transferred to hospice clinic after 17 months from appearance of the initial symptom.
Accounting ; Aged ; Analgesics ; Asbestos ; Chest Pain ; Coloring Agents ; Emergencies ; Hospices ; Humans ; Immunohistochemistry ; Male ; Mesothelioma ; Prognosis ; Thoracic Surgery, Video-Assisted ; Thorax

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A Case of Hypothyroxinemia with Thyroxine-Binding-Globulin Deficiency.

Soon Mi HUR ; Shin Hee KIM ; Min Jin KIM ; Dong Won BYUN ; Kyo Il SUH ; Myung Hi YOO ; Hyeong Kyu PARK

Soonchunhyang Medical Science.2011;17(2):161-163.

The transport proteins such as thyroxine-binding-globulin (TBG), albumin and transthyretin carry over 99% of circulating thyroid hormones. TBG is a major thyroid hormone transport protein in serum. Although TBG deficiency does not have metabolic consequences, it has diagnostic implications as it can lead to an incorrect interpretation of thyroid function tests. We experienced a case that a man who had an abnormal thyroid function showed unexpectedly low concentrations of serum total thyroxine. We detected the low TBG in his serum and he was diagnosed the TBG deficiency. We report this case along with a review of the related literature.
Carrier Proteins ; Prealbumin ; Thyroid Function Tests ; Thyroid Gland ; Thyroid Hormones ; Thyroxine

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Outcome Evaluation of an Immediately Placed Maxillary Anterior Single-Tooth Implant Using Objective Esthetic Criteria: Case Report.

Kyoung Kyu KIM ; Hun Mo SUNG

Soonchunhyang Medical Science.2011;17(2):155-160.

Immediate implant placement is one of the treatment options in postextraction sites in anterior region. This article describes the high esthetic value of a single-tooth implant immediately placed in the anterior maxilla using a flapless approach and modifying a provisional restoration. The case reported illustrates the practical procedure involved in developing natural esthetics with modifying a provisional restoration. The technique provides an accurate impression of the soft tissue through the intraoral use of provisional restoration. The final restoration uses a custom-made titanium abutment and porcelain fused gold crown. The technique is relatively simple and provides excellent results from an esthetic point of view, which is demonstrated by the results of pink esthetic scores and white esthetic scores after 1 year.
Crowns ; Dental Implants, Single-Tooth ; Dental Porcelain ; Esthetics ; Humans ; Maxilla ; Titanium

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A Case of Primary Duodenal Cancer on Afferent Loop Presenting with Chronic Anemia and Recurrent Melena.

Baek Gyu JUN ; Tae Hoon LEE ; Hyun Wook CHO ; Sae Hwan LEE ; Suck Ho LEE ; Il Kwun CHUNG ; Hong Soo KIM ; Sang Heum PARK ; Sun Joo KIM ; Hyun Deuk CHO

Soonchunhyang Medical Science.2011;17(1):49-52.

Obscure gastrointestinal bleeding accounts for approximately 5% of all gastrointestinal bleeding. Angioectasia of the small bowel is the most common form of obscure gastrointestinal bleeding, while small bowel tumors are the second. Among small bowel tumors, primary duodenal cancer is uncommon and represents 0.3% of gastrointestinal tumors. However, primary duodenal cancer at the duodenal stump following Billroth II gastrectomy for stomach cancer is extremely rare, and have not been reported yet in Korea. We report the first case of a 74-year-old man with chronic anemia and recurrent melena, which was diagnosed as a primary duodenal adenocarcinoma developed in afferent loop. The primary lesion was successfully accessed under cap-fitted endoscopy, however final diagnosis was delayed due to the unusual anatomical site.
Adenocarcinoma ; Afferent Loop Syndrome ; Aged ; Anemia ; Duodenal Neoplasms ; Endoscopy ; Gastrectomy ; Gastroenterostomy ; Hemorrhage ; Humans ; Korea ; Melena ; Stomach Neoplasms

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A Case Report of Lipoma with Chondro-Osteoblastic Metaplasia.

Jun Young EUN ; Han Min LEE ; Han Jo KIM ; Sang Byung BAE ; Kyu Taek LEE ; Sung Yong KIM ; Mee Hae OH

Soonchunhyang Medical Science.2011;17(1):45-48.

Lipomas, which are benign adipose tissue tumors, are the most common tumors of mesenchymal origin in humans. Some variants of lipoma have been described according to the type of tissue present. A rare variant consists of a lipoma with osseous or cartilaginous metaplasia. We present the case of a lipoma with chondro-osteoblastic metaplasia of right buttock in a 57-year-old male. He was referred for a painless mass on the right lateral margin of the buttock, and present for about 1 month. Magnetic resonance images revealed a 12x8x4 cm sized mass with secondary degeneration focally, involving deep portion of the right gluteus maximus muscle, and protruded to adductor magnus muscle. T1 weighted images showed signal enhancement within the mass. He underwent complete resection of the tumor. No recurrence was observed after five years follow-up. Lipoma with chondro-osteoblastic metaplasia is extremely rare disease. Here, we report it along with the corresponding literature.
Adipose Tissue ; Buttocks ; Follow-Up Studies ; Humans ; Lipoma ; Magnetic Resonance Spectroscopy ; Male ; Metaplasia ; Middle Aged ; Muscles ; Rare Diseases ; Recurrence

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Bypass Using Autologous Pericardium in the Inflammatory Pseudotumor of the Superior Vena Cava.

Jae Wook LEE ; Kang Seok BAEK ; Yong Soon WON ; Hwa Kyun SHIN ; Keun HER ; Dong Gi LEE

Soonchunhyang Medical Science.2011;17(1):42-44.

Among the causes of superior vena cava (SVC) syndrome, intraluminal tumor, especially the inflammatory pseudotumor is very rare. We report a 33-year old male patient who had been suffering from facial edema and flushing for 3 weeks before admission. On physical examination, facial edema and venous engorgement on upper extremities and upper chest wall were showed. The chest computed tomography (CT) scan showed a long intraluminal mass lesion resulting in a near total obstruction of the SVC. Surgery was performed through median sternotomy. After complete resection of the tumor, we make bypass of SVC with autologous pericardium. The follow up chest CT scan revealed no abnormality 3 months after the operation.
Edema ; Flushing ; Follow-Up Studies ; Granuloma, Plasma Cell ; Humans ; Hyperemia ; Male ; Pericardium ; Physical Examination ; Sternotomy ; Stress, Psychological ; Superior Vena Cava Syndrome ; Thoracic Wall ; Thorax ; Upper Extremity ; Vena Cava, Superior

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The Implant Retained Overdenture by Locator Attachments on the Edentulous Mandible: A Case Report.

Kyoung Kyu KIM ; Hun Mo SUNG

Soonchunhyang Medical Science.2011;17(1):37-41.

Over the past decades, conventional complete dentures were used for various patients although they have incomplete function. Overdenture using dental implants could help the improvement of denture function. In this case, a fully edentulous patient was treated with a conventional complete denture on the maxilla and implant retained overdenture retained by 2 freestanding implants placed in the anterior region of the mandible, following recommendations from the 2002 McGill. Locator attachments were used for retention of the mandibular overdenture. Patient was satisfied with the final maxillary full denture and mandibular implant retained overdenture in esthetic and functional aspect.
Dental Implants ; Denture, Complete ; Denture, Overlay ; Dentures ; Humans ; Mandible ; Maxilla ; Retention (Psychology)

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A Case of Pandemic 2009 H1N1 Influenza A Manifestation as Apical Ballooning Syndrome.

Se Yoon PARK ; Eun Jung LEE ; Duk Won BANG ; Tae Hyong KIM ; Yang Ki KIM ; Jin Wook CHUNG ; Min Su HYON

Soonchunhyang Medical Science.2011;17(1):34-36.

Critical ill patients with pandemic 2009 H1N1 influenza A are associated with mortality, including cardiovascular, respiratory and renal dysfunction. Understanding of risk factor and clinical manifestation that suggest a higher mortality can recognize high risk patients earlier. There are many reports for severe acute respiratory distress syndrome, multiple organ failure and renal failure with pandemic 2009 H1N1 influenza A. But cardiovascular disease with pandemic 2009 H1N1 influenza A remains unknown. This is the report of pandemic 2009 H1N1 influenza A association with apical balloning syndrome.
Cardiovascular Diseases ; Humans ; Influenza, Human ; Multiple Organ Failure ; Pandemics ; Renal Insufficiency ; Respiratory Distress Syndrome, Adult ; Risk Factors ; Takotsubo Cardiomyopathy

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Solid Pseudopapillary Tumor of the Pancreas in Child: A Case Report.

Gyo Chang CHOI

Soonchunhyang Medical Science.2011;17(1):29-33.

Solid pseudopapillary tumor of the pancreas is a very rare form of childhood pancreatic tumor. We report the case of an 11-year-old girl having a solid pseudopapillary tumor of the pancreas presenting with left upper abdominal pain. Imaging studies showed the lesion to be an ovoid solid mass arising from the body and the tail of the pancreas. The tumor was surgically resected and was histopathologically diagnosed as a solid pseudopapillary tumor.
Abdominal Pain ; Child ; Humans ; Pancreas ; Pancreatic Neoplasms

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