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An aortic dissection in pregnant woman - a case report -.

Hyeong Min LEE ; Eun Pyo HONG ; Dong Hyup LEE ; Jung Cheul LEE ; Sung Sae HAN ; Dong Gu SIN ; Young Jo KIM ; Bong Sup SHIM

Yeungnam University Journal of Medicine.1993;10(1):253-259. doi:10.12701/yujm.1993.10.1.253

We have experienced a case of aortic dissecting aneurysm in pregnant woman. She felt initially severe chest pain which was radiated to the neck on the 3days before delivery. Thereafter dyspnea and generalized edema were developed for 1 month after delivery. She was diagnosed as aortic dissectLn, Debakey type-II. During cardiopulmonary bypass, the selective cerebral perfusion was done through the right and left commom carotid arteries. Aortic replacement with Hemashield vascular graft and reimplantation of innominate artery, resuspension of aortic valve, repair of intimal tear were performed. The postoperative course was uneventful.
Aneurysm, Dissecting ; Aortic Valve ; Brachiocephalic Trunk ; Cardiopulmonary Bypass ; Carotid Arteries ; Chest Pain ; Dyspnea ; Edema ; Female ; Humans ; Neck ; Perfusion ; Pregnant Women* ; Replantation ; Tears ; Transplants

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Three cases of ovarian pregnancy.

Mi Na LEE ; Jae Yeoul LEE ; Yoon Kee PARK ; Sung Ho LEE

Yeungnam University Journal of Medicine.1993;10(1):245-252. doi:10.12701/yujm.1993.10.1.245

Primary ovarian pregnancy is one of the rerest types of extrauterine pregnancy. But an increase in the reported prevalence of ovarian pregnancies was published in recent years. Three cases of ovarian pregnancy which have Spiegelberg criteria are presented with a brief review of literatures.
Female ; Pregnancy ; Pregnancy, Ectopic* ; Prevalence

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A case of free-floating left atrial ball thrombus in mitral stenosis.

Young Jin KIM ; Tea Il LEE ; Kyo Won CHOI ; Seung Ho KANG ; Dong Gu SIN ; Young Jo KIM ; Bong Sup SHIM ; Hyun Woo LEE ; Eun Pyo HONG

Yeungnam University Journal of Medicine.1993;10(1):237-244. doi:10.12701/yujm.1993.10.1.237

A free-floating ball thrombus in the left atrium is a rare complication of the mitral valvular disease. A 53-year-old man was admitted for pain and paresthesia on both legs. On admission he had auscultatory sign of mitral stenosis and mitral regurgitation, and the roentgenogram of his chest revealed a slight pulmonary ve..ous congestion, enlargement of the pulmonary conus and cardiomegaly. Laboratory findings including complete blood counts, coagulation studies and blood chemistry were normal. An echocardiographic examination revealed a mitral stenosis and a free-floating ball thrombus in the left atrium. We performed the emergent open heart surgery for removal of the ball thrombus and mitral replacement successfuly with Duromedics 29 mm valve. The size of thrombus was 39 X 32 X 30 mm.
Blood Cell Count ; Cardiomegaly ; Chemistry ; Conus Snail ; Echocardiography ; Estrogens, Conjugated (USP) ; Heart Atria ; Humans ; Leg ; Middle Aged ; Mitral Valve Insufficiency ; Mitral Valve Stenosis* ; Paresthesia ; Thoracic Surgery ; Thorax ; Thrombosis*

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A case of child seperation anxiety disorder with severe weight loss and school refusal.

Sang Ruyl JANG ; Hyung Bae PARK

Yeungnam University Journal of Medicine.1993;10(1):226-236. doi:10.12701/yujm.1993.10.1.226

Seperation anxiety disorder(SAD) is characterized by excessive anxiety about being apart from the individuals to whom a child is most attached. We noticed a case of a 13 year old boy's SAD with symptoms of nausea/vomiting, stomachache, school refusal, and severe weight loss. His mother was overanxious and overdependent but her'dependency was frustrated due to family problem. We investigated this case from a point of developmental aspect and family dynamics and tried to attempt therapeutic approach.
Anxiety Disorders* ; Anxiety* ; Child* ; Disulfiram* ; Humans ; Mothers ; Weight Loss*

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A case report of hemifacial microsomia.

Chang Kon LEE ; Myung Jin LEE ; Jong Sup KIM ; Jin Ho PARK ; Byung Rho CHIN ; Hee Kyung LEE

Yeungnam University Journal of Medicine.1993;10(1):218-225. doi:10.12701/yujm.1993.10.1.218

This is a case report and review of literature that deals with hemifacial microsomia corrected by costochondral graft, Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy. Patient, 23 years old female, had visited to treat the esthetic problem due to a deviation of jaw. On the basis of clinical and radiographic examinations, she was diagnosed as hemifacial microsomia. First, costochondral graft was performed to bridge the defect between glenoid fossa and body of mandible. After 11 months,. Patient was performed a Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy to create a symmetric jaw. Patient was satiesfied with final esthetics and there have been no evidence of infection ill now.
Esthetics ; Female ; Goldenhar Syndrome* ; Humans ; Jaw ; Mandible ; Osteotomy ; Osteotomy, Sagittal Split Ramus ; Transplants

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Radition effect on colony formation of hela.S3(SC) cell line.

Sei One SHIN ; Sung Kyu KIM ; Myung Se KIM

Yeungnam University Journal of Medicine.1993;10(1):212-217. doi:10.12701/yujm.1993.10.1.212

Since discovery of X-rays, radiotherapy has evolved into one of the most scientific branches of medicine and has established its role as the primary line or the secondary line of attack, after surgery,. in the treatment of malignant cancers. Nowadays its importance is illustrated by the fact that as many as 70 per cent of all pastients with cancer will receive radiation therapy at sometime during their disease process. Biologic effects-of X-rays began to be apparant soon after the discovery by Roentgen in 1895. In clinical radiotherapy, the biologic endpoint of most importance is loss of cellular reproductive ability or clonogenicity. One of the commonest ;nays to assess cell survival is to use an in vitro plating assay. We analyzed radiation effect on colony formation of HaLa. S3(SC) cell line and obtained results are as follows The plating efficiency is 0.464. The shape of cell survival curve is similar to multi-target plus single hit component model. Estimated values of Do, Dq, and extrapolation number are 150 cGy, 80 cGy and 1.7 respectively. We reported these experimental data with review of literature.
Cell Line* ; Cell Survival ; Radiation Effects ; Radiotherapy

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The clinical study of the supracondylar fracture of the femur.

Jong Chul AHN ; Se Dong KIM ; Jae Sung SEO ; Dong Chul LEE ; Young Joo LEE

Yeungnam University Journal of Medicine.1993;10(1):197-211. doi:10.12701/yujm.1993.10.1.197

Recently, the Supracondyle fracture of the femur is so severe and comminuted that it is difficult to treat open reduction and rigid fixation sufficiently due to violent traffic accident and external forces. The associated injuries are accompanied variously. So compliactions of the supracondyle fractures 'including joint.. stiffness, delayed union, infection are serious. However development of internal implant and operation skill result in relatively satisfactory function than conservative management. The authors reviewed. 20 cases of the supracondyle fracture of the femur treated at Yeungnam University Hospital from 1989. Dec. To 1992. Jan. The results were as follows 1. The male was common(70%). The 2nd-4th decade was most(87%). 2. The most common cause of injuries was traffic accident. The rate of open fracture was 35%, most of it was traffic accident. 3. According to the ASIF group classification, 4 cases were type A, 4 in type B, 12 in type C (10 in type C2&C3). 4. Accompanied injuries included multiple fractures in 9 cases and femoral artery injury in 1 case. 5. Among the 20 cases, conservative treatment was done in 5 cases and operative treatment was done in 15 cases. 6. Functional results (by Schatzker criteria) were as follows. The satisfactory results were achieved in 40% of cases in consevative treatment and 67 in operative treatment. 7. The average time of partial weight bearing was 15 weeks. 8. Complications were knee stiffness in 6 cases and 4 in delayed union.
Accidents, Traffic ; Classification ; Femoral Artery ; Femur* ; Fractures, Open ; Humans ; Joints ; Knee ; Male ; Weight-Bearing

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Suprameatal Transvaginal Urethrolysis in Urethral Obstruction Associated with Anti-incontinence Surgery: A Case Report.

Jin Wook YOO ; Hee Chang JUNG ; Tong Choon PARK

Yeungnam University Journal of Medicine.1999;16(2):376-379. doi:10.12701/yujm.1999.16.2.376

We report our experience with a case of urethrolysis using a transvaginal suprameatal approach without lateral perforation of the urethropelvic ligament. A 43-year-old woman suffered from voiding difficulties such as hesitancy, frequency, urgency, decreased urinary flow, residual urine sensation after Marshall-Marchetti-Krantz operation concurrent with hysterectomy. The results of multidisciplinary work-ups of urethral obstruction such as history, vaginal examination, voiding cystourethrography, urodynamic study, showed that she had urethral obstruction due to a previous operation. Since clean intermittent catheterization and alpha-blocker therapy did not improve her symptoms, suprameatal transvaginal urethrolysis was performed to resolve the symptoms. Postoperative follow-up for 5 months showed that the patient remained free from voiding difficulty in their life. We believe that suprameatal transvaginal urethrolysis is worth attempting for urethral obstruction associated with anti-incontinence surgery.
Adult ; Female ; Follow-Up Studies ; Gynecological Examination ; Humans ; Hysterectomy ; Intermittent Urethral Catheterization ; Ligaments ; Sensation ; Urethral Obstruction* ; Urodynamics

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A Clinical Case Report of Hydatid Cyst of Liver.

Jung Mi KIM ; Kyo Won CHOI ; Heon Ju LEE

Yeungnam University Journal of Medicine.2001;18(1):138-143. doi:10.12701/yujm.2001.18.1.138

In humans, echinococcal species produce cystic lesions primarily involving the liver and lung. Echinococcal infection is caused far more commonly by Echinococcus granulosa than by E. multilocularis, which accounts for less than 5 percent of all cases of hydatid liver disease. Hydatid disease occurs principally in sheep grazing areas, particularly in the Australia, New Zealand, Greece, Yugoslavia, Middle East, and South American countries, but with increasing migration and traveling, this disease now has a worldwide distribution. This disease is rare in Korea and only few cases have been reported. This is a clinical case report of hydatid cyst of liver caused by Echinococcus granulosus in a 52-year-old man who had been dispatched in the Vietnam from 1966 to 1968.
Australia ; Echinococcosis* ; Echinococcus ; Echinococcus granulosus ; Greece ; Humans ; Korea ; Liver Diseases ; Liver* ; Lung ; Middle Aged ; Middle East ; New Zealand ; Sheep ; Vietnam ; Yugoslavia

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Comparative Analysis of Accuracy between Computerized Tomography and Cephalogram for 3-Dimensional Measurement of Maxillofacial Structure.

Jong Su PAEK ; Jae Chul SONG ; Hee Kyung LEE

Yeungnam University Journal of Medicine.2001;18(1):123-137. doi:10.12701/yujm.2001.18.1.123

BACKGROUND: The purpose of this study is to evaluate the accuracy of measurements obtained from 3-dimensional computerized tomography and 3-dimensional cephalogram constructed by using the frontal and lateral cephalogram of six human dry skulls. MATERIALS AND METHODS: After CT scans and each cephalograms were taken, 3-dimensional coordinates (X, Y, Z) of landmarks were obtained using computer programs. In this study, the accuracy of both methods were determined by means of 14 linear measurements compare with caliper measurements. RESULTS: The standard deviation of landmarks of 3-dimensional CT and 3-dimensional cephalogram were 0.23 mm and 0.30 mm in X axis, 0.27 mm and 0.25 mm in Y axis, and 0.27 mm and 0.31 mm in Z axis. In both methods, the standard deviation were less than 0.5 mm in all landmarks, and the most of landmarks showed less than 1 mm in range. Concerning the accuracy, the mean difference between 3-dimensional CT and manual measurements was 0.33 mm, and 1.13 mm between 3-dimensional cephalogram and manual measurement. The distance between RGo and LGo showed the largest difference (2.23 mm). There were highly significant, and large correlation with manual measurements in both methods (p<0.01). CONCLUSION: It is concluded that closeness of repeated measurements to each skulls reveal the precision of both methods. Computerized tomography and cephalogram for 3-dimensional measurement of maxillofacial structure are equivalent in quality to caliper measurements.
Axis, Cervical Vertebra ; Humans ; Skull ; Tomography, X-Ray Computed

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