Small Bowel Obstruction Caused by an Aberrant Congenital Band in a Child / 대한소아소화기영양학회지

Small bowel obstruction due to congenital band is not only rare in children, but also difficult to diagnose, because common symptoms such as vomiting and abdominal pain are observed in patients. In order to prevent a fatal result, an anomalous congenital band should be considered in the discriminative diagnosis of intestinal obstruction in children who have no previous experience of operation or intraperitoneal inflammation. This report presents a 4-year-old boy who was admitted with abdominal pain and nonbilious vomiting for a day. The initial suspicion was for acute gastroenteritis. However, after further investigation and performance of surgery, the intestinal obstruction associated with a congenital band was confirmed. No recurrence was observed during the 8-month follow-up period. Thus early confirmation based on radiologic study is a crucial factor for the diagnosis of small bowel obstruction caused by a congenital band.

Clinical and radiologic preoperative predicting factors for GB cholesterol polyp / 대한외과학회지

PURPOSE: To use the clinical and radiological data to differentiate non-cholesterol versus cholesterol gall bladder (GB) polyps, which can be useful in deciding the treatment of the patient. METHODS: One hundred and eighty-seven patients underwent cholecystectomy for GB polyps of around 10 mm for 10 years, and were divided into two groups, cholesterol polyps (146 patients) and non-cholesterol polyps (41 patients) based on the postoperative pathological findings. Gender, age, body weight, height, body mass index (BMI), symptoms, laboratory findings, size, number of polyps, presence of GB stone and maximum diameter measured by preoperative ultrasonography (USG), computed tomography (CT), and pathological diameter were subjected to comparative analysis. RESULTS: Patients diagnosed with cholesterol polyps were younger in age and had higher BMI, and the total cholesterol levels and white blood cell levels were higher, but were not statistically significant. It was notable to see that 28.6% of the cholesterol polyps were not found in the preoperative CT yet the percentage of the undetectable rate was significantly lower (8%) in the non-cholesterol polyp group. There was a discrepancy in maximum diameters between the two radiological methods in both groups but the discrepancy was significantly larger in the cholesterol polyp group. CONCLUSION: The clinical signs that can be helpful to diagnose whether it is a cholesterol polyp or not are younger patients who have high BMI, polyps which are detectable only on the USG and large maximum diameters between the USG and CT. And if the discrepancy of the maximum diameter is lesser than 1mm the polyp may be considered as a non-cholesterol polyp.

Diagnosis in Extension Injuries of the Lower Cervical Spine / 대한정형외과학회잡지

PURPOSE: The purpose of this study was to evaluate diagnostic criteria using plain lateral radiography, the incidence of traumatic disc herniation and the degree of neurologic deficit in extension injury of the lower cervical spine. MATERIALS AND METHODS: We analyzed 28 patients with extension injury of the lower cervical spine, by measuring the retropharyngeal, retrotracheal space and the intervertebral space at the injured level in plain lateral radiography. We selected 40 patients as a control group for the prevertebral soft tissue space measurement. RESULTS: Widening was found in the retropharyngeal space (6.8 +/-2.9 mm) and in the retrotracheal space (15.2 +/-3.8 mm) compared with the control group (4.2 +/-0.7 mm, 12.6 +/-1.9 mm, p<0.05). No significant increase in the injured intervertebral space was observed with respect to the normal upper and lower disc space. Neurologic deficit occurred in 25 cases (89%); with root injury in 11 cases and cord injury in 14 cases. There were 19 posterior disc herniations (68%), which were associated with neurologic deficits in all cases. CONCLUSION: Extension injuries should be suspected in the presence of soft tissue injury of the anterior column without fracture or dislocation by the radiologic study of the lower cervical spine. Magnetic resonance imaging study is believed to be an essential diagnostic modality for the accurate evaluation and proper management of the lower cervical spine injuries.

Change of Morphologic Pelvis According to Age in Korean Women : Radiologic Study / 체질인류학회지

The morphological change of pelvis in obstetrical part is very important for the partruition and its analysis is also critical in anthropological part studying the morphological differences between male and female pelvises by age. The measurement of dry bones is currently used for analyzing the changes, but this method has some difficulties including in sampling the dry bones. To solve this problem and analyze the morphological changes of pelvis accurately, we used the X -ray photographic films showing whole pelvis, vertebrae, and femur. The whole pelvis and proximal femur's X -ray photographies were taken from 506 individuals who were over 20 - year old age, non -pregnant, and normal posture Korean females. And the several values from the photographies were measured for analysis including maximum pelvic breadth (MPB), sacral breadth (SB), transverse diameter of pelvic inlet (TD), distance between ischial spines (ISD), distance between femoral heads (IHD), and distance between greater trochanters of femur (ITD). The results revealed that the TD values were highly correlated to other pelvic items, but not to ages, suggesting that TD is not anatomically changed to the correlation of parturition times. Also, the IHD values were highly related to the ITD and TD values, but the ISD values had relatively low correlations with MPB and ITD values. Depending on ages, the MPB values were gradually increased, while the ITD values were gradually decreased, indicating that these morphological changes of pelvis by ages are reflecting an aging process.

A Case of Acute Lymphoblastic Leukemia which was Diagnosed with the Help of the Radiologic Study / 대한임상병리학회지

We report a case of acute lymphoblastic leukemia (ALL) in a 7-year-old female patient who had complained of limitation of motion and pain on knee and ankle joints 5 months ago. She had been initially diagnosed as juvenile rheumatoid arthritis (JRA) and received prednisone (PDS), which delayed the accurate diagnosis of the disease. But finally she has been diagnosed with ALL by the bone marrow aspiration and biopsy being done after the discontinuation of PDS with the help of leukemic suspicion of radiologic study.

The Clinical Effects of the Silicone Intracanalicular Plug in Dry Eye Syndrome

To evaluate the efficacy of the intracanalicular silicone plug in dry eye, we performed lower horizontal canalicular occlusion with the Herrick lacrimal plug Twenty-eight of the 34 eyes(81 %) were able to discontinue or reduce to occasional use of the instillation of artificial tears and the remaining unsatisfactory 6 eyes were investigated by radiologic study for silicone plug. In 2 eyes, the plugs were invisible in radiologic study and the canaliculi were occluded repeatedly. In one of the four eyes with their plugs in place, upper canaliculus was occluded additionally. By thorough evaluation of the status of the plug by radiologic study and secondary attempt. 31 of the 34 eyes(91%) were able to discontinue or reduce to occasional use of the instillation of artificial tears. The intracanalicular plug has no protruded portion out of the puntum, so complications such as reflex tearing, conjunctival irritation, and loss of plug through the punctum, were not occurred. Waters' view with soft tissue density was effective in demonstration of silicone intracanalicular plug.

Caliceal Anatomical Structure by Radiological Examination / 대한비뇨기과학회지

Developing the instruments in urological field, the urinary tract stones may be manipulated more easily and lesser invasively recently. The percutaneous nephrolithotripsy is one of the most widely using technique for the renal stone. But, the major portion of the failure through the manipulation of percutaneous nephrolithotripsy is the access to the correct, wanted calyx by puncture. So, we observed the 27 normal right kidneys and 26 left kidneys by abdominal computer tomogram scanning and excretory urography for the Korean caliceal anatomy. The following results were obtained 1. The average values of posterior renal rotation from the coronal plane of body were 31.0 degrees +/- 4.4 degrees in the right kidneys 32.4 degrees +/- 3.2 degrees in the left kidneys. 2. The average values of anterior and posterior caliceal angle were 58.8 degrees +/- 7.6 degrees and 20.7 degrees +/- 5.8 degrees in the right kidneys; 38.3 degrees +/- 6.2 degrees and 43.0 degrees +/- 5.2 degrees in the left kidneys. 3. The major type of classical system was Brodel type (74.l%) in the right kidney; Hodson type (53.8%) in the left kidney. 4. The anterior calyx is more laterally placed about 8l.8% in the excretory urography.