Septic Knee Arthritis Caused by Corynebacterium striatum / 대한정형외과학회잡지

Corynebacterium striatum (C. striatum ) is an aerobic Gram-positive rod, which is an organism of the respiratory tract and skin. Because of its low virulence, it is usually thought to be a contaminant even if it is shown in culture tests, but it can cause endocarditis and respiratory infections, and rarely meningitis and arthritis. Infection with C. striatum has been reported in patients with reduced immunity, as well as in patients with catheter or broken skin barriers. Septic knee arthritis caused by C. striatum infection is rarely reported, and knee joint infection by C. striatum in patients who underwent arthroscopic debridement for previous septic arthritis is even more rare. Therefore, we report a case of septic knee arthritis caused by C. striatum that was improved by early diagnosis and arthroscopic treatment.

A case of Full Term Delivery of a Edward Syndrome Associated with Dandy-Walker Syndrome subsequent to Prenatal Diagnosis / 대한산부인과학회잡지

Dandy-Walker syndrome indicates the association of cystic dilatation of fourth ventricle, dysgenesis of the cerebellar vermis and a high position of the tentorium. Dandy-Walker syndrome has an estimated prevalence of about 1 in 30,000 births and is found in 4% to 12% of all cases of infantile hydrocephalus. And trisomy 18 was present in 4.8% of the Dandy-Walker syndrome. Trisomy 18 is a chromosomal aneuploid, which results in multiple severe structural abnormalities that mostly involve the heart, extremities, face, and brain. We experienced a case of Edward syndrome associated with Dandy-Walker syndrome. She did not want to terminate her pregnancy. So, we reviewed a Edward syndrome with Dandy-Walker syndrome and presented the final result in full term delivery.

A Case of Xanthogranulomatous Oophoritis / 대한산부인과학회잡지

Xanthogranulomatous oophoritis is uncommon forms of chronic granulomatous inflammation in the female genital tract. It is characterized by the presence of foamy histiocytes with admixed lymphocytes, plasma cells, and neutrophils. We describe a case of xanthogranulomatous oophoritis in a 75-year-old woman, which was misdiagnosed as uterine sarcoma preoperatively.

A Case of Xanthogranulomatous Oophoritis / 대한산부인과학회잡지

Xanthogranulomatous oophoritis is uncommon forms of chronic granulomatous inflammation in the female genital tract. It is characterized by the presence of foamy histiocytes with admixed lymphocytes, plasma cells, and neutrophils. We describe a case of xanthogranulomatous oophoritis in a 75-year-old woman, which was misdiagnosed as uterine sarcoma preoperatively.

Clinical study of hypertensive diseases in pregnancy in Southwest region of Chonnam / 대한산부인과학회잡지

OBJECTIVE: The purpose of this study is to analyze the present conditions of hypertensive diseases in pregnancy so as to examine the differences between the urban and rural communities in the southwest region of Chonnam about prenatal care from 1996 to 2000. METHODS: We analyzed the clinical characteristics of only 251 out of 13,296 pregnant women who were hospitalized to be delivered in Department of obstetrics and gynecology in the Mokpo Catholic Hospital for the past five years from 1996 to 2000. RESULTS: The incidence of hypertensive diseases in pregnancy was 1.89% of the total deliveries: mild preeclampsia (55.4%), severe preeclampsia (38.2%), eclampsia (1.2%) and chronic hypertension (5.2%). Hypertensive diseases in pregnancy was common in the age group of 25-29 years (45.9%) and in gestational age of 37-40 weeks was 67.3%. The rate of vaginal delivery was 49.0%: spontaneous delivery (33.5%), induced labor (15.5%) but the rate of cesarean section was 51%. As a maternal complications, anemia (55.7%) and postpartum hemorrhage (11.4%) were developed and fetus and neonatal complication due to intrauterine growth restriction showed a considerably high rate of 12.2%. Seen from the interrelation between a residential district and the frequency of prenatal care, 40.6% of pregnant women were undergone an prenatal care at most one time, especially 53.4% of reside in rural area (p.05). CONCLUSION: Not only a study of the cause and early diagnosis of hypertensive diseases in pregnancy, but also prenatal care, early checkup and education with keeping in close contact with an executive agency will lead to decrease newborn infant mortality and hypertensive diseases in pregnancy.

A Clinical Study in Pregnant Women Over the Age of 35 / 대한산부인과학회잡지

OBJECTIVES: Although pregnancy in women who are 35 years old or more is considered a high risk pregnancy, it has occurred more frequently in recent years. The aim of our study was to evaluate the course of delivery and perinatal outcomes in women who are 35 years old or more. METHOD: We have compared 765 cases of the elderly gravida over the age of 35 at the department of Obstetrics and Gynecology, Mokpo, Catholic Hospital, from January 1, 1997 to December 31, 1999, with 800 cases of randomly chosen young pregnant women during the same period. RESULTS: There were 765 cases of the elderly gravida among total 8285 deliveries and the incidence of the elderly gravida for 3 years was 9.2%. The rate of elderly gravida was increased from 8.2% in 1997 to 10.0% in 1999. 46.9% were in the age group of 35 to 36 years. The incidence of primigravida was 13.9%. 93.6% of total cases was vertex presentation breech presentation was 5.2%, and transverse lie was 1.2%. The percentage of preterm pregnancy was 9.5% in elderly gravida, and 4.0% in control group. post-term pregnancy was 2.0% in elderly gravida, and 1.0% in control group.The rate of cesarean section was 48.8%, compared with 26.7% in the control group. Among the indications of cesarean section, the highest incidence was previous cesarean section (40.0%) and elderly primigravida (18.0%), fetal distress (10.7%), cephalopelvic disproportion (7.5%), and abnormal presentation (6.7%). Concerning the prenatal complications, the incidence of hypertensive disorder was 4.3%, and 2.6% in control group. The incidence of low birth weight and macrosomia were 8.9%, 8.8% in elderly gravida, and 5.5%, and 9.3% in control group. The incidence of IUFD was 3.1% in elderly gravida, and 0.63% in control group. Male-to-female sex ratios were 1.12:1 in elderly gravida, 1:1.16 in elderly primigravida, 1.17:1 in elderly multi gravida, and 1.20:1 in control group. CONCLUSION: The rate of elderly gravida increased in recent years, and the cesarean rate was higher compared with the control group. But there was no difference in perinatal mortality. The reasons for increasing rate of cesarean delivery may be due to physician and patient concern over pregnancy outcome in older women. Therefore it is necessary to exert more attention to pregnancies in those over the age of 35.

The Course of Delivery and Perinatal Outcomes for Postterm Pregnancy / 대한산부인과학회잡지

OBJECTIVE: The purpose of this study was to evaluate of course of delivery & perinatal outcomes for postterm pregnancy compared with fullterm pregnancy. METHODS: This study included 360 cases of postterm pregnancy out of 16,992 cases delivered at Department of Obstetrics and Gynecology from January 1, 1993 to December 31, 1997. 16,143 cases of full term deliveries of 38 to 42 gestational weeks conducted in same period were used as the control group. Postterm pregnancy was defined as a pregnancy that it exceeds 295 days calculated from first day of the last menstrual period. RESULTS: The incidence of postterm pregnancy was 2.13% with the highest incidence occurring in the 26 ~30 years age group. This study group was significantly different from the control group in the incidence of fetal distress (10.28% vs. 2.20%), large fetus (10.83% vs. 6.95%), perinatal death (1.67% vs. 0.27%). CONCLUSIONS: Adverse perinatal outcomes were increased markedly as the gestational weeks to be prolonged. Therefore, careful prenatal care, accurate determination of delivery date is very important.

A Clinical Analysis of Ectopic Pregnancy / 대한산부인과학회잡지

The study was undertaken for the clinical evaluation and statistical analysis on the 222 patients with ectopic pregnancy who had been adbitted and treated at the Mokpo St.Columban's Hospital from Jan. 1, 1993 to Dec. 31, 1995. The results were obtained as follows. 1. Hospital incidence of ectopic pregnancy wasd 1 in 45 deliveries(222/10,078). 2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 31 to 35 years(36.9%). 3. Nullipara was 26.5% and woman who had experienced artificial abortion was 69.8%. 4. Hemoglobin value over 10.0 gm/dL was in 78.8% and below 8.9 gm/dL in 4.1%. 5. Initial systolic blood pressure rise above 100 mmHg was in 75.0%, the mean value was 104.5mmHg. 6. The clinical manifestations were appeared in 64.4% from the last menstrual peroid to the next 5~8 weeks. 7. Total amount of intraperitoneal hemorrhage between 100~1,000 ml was in 62.1%, above the 1,000 ml was in 29.3% and less than 100 ml was in 8.6%. 8. Ectopic pregnancy was implanted follopain tuve in 95.0% ovary in 4.5% and cervix in 0.5%. Among tubal pregnancies, ampulla portion was involved in 76.6%, interstitial portion in 3.1%, isthmic portion in 12.2% and fimbrial portion in 3.1%. 9. In the past history, the laparoscopic tubal ligation was in 18%, peritonitis was in 1.8%, appendectomy was in 7.2% and cesarean section was in 8.6%. 10. Culdocentesis was positive in 70.0% and urinary HCG test was positive in 90%. 11. 77.8% of total cases was treated by salpingectomy, 14.9% by salpingoophorectomy and 1.4% by hysterectomy. 12. Of 222 total cases, no death occurred.

A Clinical Analysis of Ectopic Pregnancy / 대한산부인과학회잡지

The study was undertaken for the clinical evaluation and statistical analysis on the 222 patients with ectopic pregnancy who had been adbitted and treated at the Mokpo St.Columban's Hospital from Jan. 1, 1993 to Dec. 31, 1995. The results were obtained as follows. 1. Hospital incidence of ectopic pregnancy wasd 1 in 45 deliveries(222/10,078). 2. Ectopic pregnancy was found to occur most frequently in the age group, ranging from 31 to 35 years(36.9%). 3. Nullipara was 26.5% and woman who had experienced artificial abortion was 69.8%. 4. Hemoglobin value over 10.0 gm/dL was in 78.8% and below 8.9 gm/dL in 4.1%. 5. Initial systolic blood pressure rise above 100 mmHg was in 75.0%, the mean value was 104.5mmHg. 6. The clinical manifestations were appeared in 64.4% from the last menstrual peroid to the next 5~8 weeks. 7. Total amount of intraperitoneal hemorrhage between 100~1,000 ml was in 62.1%, above the 1,000 ml was in 29.3% and less than 100 ml was in 8.6%. 8. Ectopic pregnancy was implanted follopain tuve in 95.0% ovary in 4.5% and cervix in 0.5%. Among tubal pregnancies, ampulla portion was involved in 76.6%, interstitial portion in 3.1%, isthmic portion in 12.2% and fimbrial portion in 3.1%. 9. In the past history, the laparoscopic tubal ligation was in 18%, peritonitis was in 1.8%, appendectomy was in 7.2% and cesarean section was in 8.6%. 10. Culdocentesis was positive in 70.0% and urinary HCG test was positive in 90%. 11. 77.8% of total cases was treated by salpingectomy, 14.9% by salpingoophorectomy and 1.4% by hysterectomy. 12. Of 222 total cases, no death occurred.

The evaluation of the combined use of serum ?hCG and ultrasound in diagnosis of ectopic pregnancy / 대한산부인과학회잡지

No abstract available.