Six cases of laparoscopic assisted neovaginoplasty using pelvic peritoneal flap in MRKH syndrome / 대한산부인과학회지

Vaginal agenesis is rare gynecologic condition, and the most common etiology is Mayer-Rokitansky-Kster-Hauser (MRKH) syndrome, characterized by the absence of uterus and vagina and presence of normal ovaries and tubes. In such patients, the evaluation for associated malformations as well as careful non-surgical and surgical approach are essential. The neovaginoplasty is an important issue for these patients in regard of functional and psychological standpoint. There are many options available for creation of neovagina. We report six cases of laparoscopic assisted neovaginoplasty using pelvic peritoneal flap.

Cytomegalovirus Esophagitis in Renal Transplant Recipient / 대한이식학회지

Cytomegalovirus (CMV) infection of the gastrointestinal tract can cause serious disease in immunocompromised patients. Recipients of solid organ and bone marrow transplants, persons with malignancies, persons with immune deficiency due to acquired immune deficiency syndrome (AIDS), and those receiving immunosuppressive medication are at risk. When CMV infection of the GI tract causes disease, symptoms include pain, ulceration, bleeding, diarrhea, and perforation. All level of GI tract, from the oropharynx to anus, may be involved. The CMV has been associated with gastric and enteric ulcerations, but infrequently with esophageal infection. Two cases of CMV induced esophagitis have been reported in Korea. We report one recipient of kidney transplant who had esophageal ulceration associated with CMV infection which showed characteristic endoscopic and histologic finding of CMV esophagitis.

Deep Vein Thrombosis Casused by Congenital Absence of Inferior Vena Cava Combined with Hyperhomocysteinemia Due to C677T Methylenetetrahydrofolate Reductase Homozygos Mutation

We present a case of suprarenal & infrarenal absence of inferior vena cava combined with hyperhomocysteinemia in a 39-year-old woman who presented with symptoms of deep venous thrombosis. The patient has also C677T methylenetetrahydrofolate reductase homozygous mutation. Deep vein thrombosis has multifactorial etiology involving both genetic and acquired factors. Absence of inferior vena cava is a rare congenital anomaly, but recently it was confirmed as important risk factor for the development of deep vein thrombosis especially young person. Hypercoagulability by the hyperhomocysteinemia with suggested tendency to venous stasis mediated by agenesis of inferior vena cava must have caused the deep vein thrombosis in our patient. To our knowledge, such an association has not been reported. Clinical features and prognosis of this entity are discussed.

A Case of Parathyroid Carcinoma

Parathyroid carcinoma is a rare disease and its incidence has been reported to be 0.5-5% of all primary hyperparathyroidism cases. Compared to adenoma, parathyroid carcinoma shows higher levels of serum calcium and parathyroid hormone. When there is evidence of generalized bone disease along with the involvement of a neck mass in the hypercalcemic patient, parathyroid carcinoma should not be ruled out. The histological characteristics of malignant cells include nuclear pleomorphism, an increase in Nucleus/ Cytoplasm (N/C) ratio, hyperchromatism, abnormal mitosis and prominent nucleoli. Furthermore, malignat cases involve capsular and vascular invasion as well as metastasesis to the lungs, cervical lymph nodes and bones. The biological behavior of parathyroid carcinoma seems to be variable with a wide range of malignancy. Surgical excision is the first therapeutic option. In this paper, we report and review our experience in a case of parathyroid carcinoma in a 66- year-old female with hypercalcemia, ureteral stones and a neck mass.

Herpes simplex virus and varicella zoster virus infection in renal transplant recipients / 대한이식학회지

No abstract available.

Herpes simplex virus and varicella zoster virus infection in renal transplant recipients / 대한이식학회지

No abstract available.