Hemobilia caused by pancreatic disease is very rare. The most common cause is a splenic artery pseudoaneurysm caused by acute and chronic inflammation of the pancreas. We experienced a case regarding as hemobilia as a complication of chronic relapsing pancreatitis in a 14 year-old boy. He was admitted with chief complaints of abdominal pain and hematemesis. Two years prior to admission,... |
The 45 neonates with bronchopulmonary dysplasia among 355 neonates who were managed with mechanical ventilation and oxygen therapy in NICU of Seoul National University Chhildren's Hospital from January 1, 1968 to December 31, 1991, were analyzed for risk factors and outcome. The results were as follows: 1) The incidence of bronchopulmonary dysplasia was 12.7% 2) Respiratory Distress Syndrome was most common underlying problem. 3)... |
Intestinal lymphangiectasia is a primary or secondary disorder of the gastrointestinal tract, which is associated with lymphatic dysfuction and protein-losing enteropathy. It's clinical manifestations vary widely, but the main symptoms are abdominal distention, edema, abdominal pain and growth failure. We described a 15-yr-old boy, who suffered from above symptoms since third year of his age and diagnosed by duodenal endoscopy which... |
Chronic intestinal pseudo-obstruction is a clinical condition in which impaired intestinal propulsion causes recurrent symptoms of bowel obstruction in the absence of mechanical occlusion. In this paper a female neonate was presented with vomiting and abdominal distension in the first few days of life but passed normal meconium. Barium enema showed a microcolon and an abnormaly sited cecum. Malrotation of bowel... |
Antral or prepyloric mucosal diaphragms (webs) are composed of mucosa which enclose a membrane of submucosa and located at the antrum of the stomach at variable distances from the pylorus. They may be congential in origin or secondary to chronic peptic ulcer disease. Obstructive symptoms occur when diaphragmatic aperture is less than 1 centimeter. The diagnosis relies on the history,... |
Cystic hygroma is a true, benign, congenital multi-cystic tumor. It is thought to be arised from failure of the lymphatic system to communicate with the venous system. Frequently it occurs at birth, and it is found most commonly in the neck as painless and fluctuant mass. For many years, surgical excision has been considered as the treatment of choice. However, excision... |
In order to find out the incidences of muscular ventricular septal defect and multiple ventricular septal defects in cases with isolated ventricular septal defect, tetralogy of Fallot, complete endocar- dial cushion defect, complete transposition of the great arteries, corrected transposition of the great arteries and double outlet right ventricle, a retrospective analysis of 620 left ventriculograms were performed. The surgical and echocardiographic findings were... |
Caroli’s disease was first described by Caroli in 1958 and characterized by segmental cystic dilatation of the intrahepatic bile ducts. There is stasis of bile with stone formation in the dilatated ducts, giving rise to frequent attacks of pain and cholangitis. In the past, diagnosis of the Caroli’s disease is rarely established prior to operation and subsequent cholangiography. Recently, with ultrasonography, computerized tomography, radioisotope... |
34 very low birth weight infants weighing 1,500 gms or less, who were admitted to the neonatal intensive care unit of Seoul National University Children’s Hospital, were routinely studied with serial real-time brain ultrasonography from August 1, 1986 to July 31, 1988. Their medical records and the results of brain ultrasonography were analyzed to evaluate propor- tion, severity, timing, clinical findings, outcome, associated periventricular... |
Typhlitis is a rare necrotizing colitis in which inflammation is confined to cecum. It occurs during chemotherapy for malignancies, in terminal stage of aplastic anemia, in transplant patients. The pathogenesis of typhlitis has included leukemic infiltration of the bowel, thrombocytopenia, direct toxic effects of chemotherapy, steroid, bacterial invasion of the bowel wall secondary to neutropenia and alteration of the bowel flora by broad-spectrum antibiotics.... |
Recently, we experienced a case of renovascular hypertension in 7 year-old boy, who came with chief complaints of protracted vomiting and severe headache for 2 days. Right after admission, he developed seizure and loss of consciousness lasting 5 minutes. Blood pressure was 230/180 mmHg at that time. Diagnostic studies were done with plasma renin activity, rapid sequence pyelography and arteriography, which showed severe focal... |
Thirty one cases of congenital heart disease with suspicious splenic anomaly were prospectively studied at Seoul National University Children’s Hopsital from October, 1986 to February, 1988 in order to determine the sensitivity and the specificity of various non-invasive diagnostic methods for splenic status. In most cases, splenic status was confirmed by abdominal aortography. Each case had chest X-ray, abdominal X-ray, bronchus tomography, electrocardiogram, echocardiography,... |
Percutaneous transluminal angioplasty (PT A) was done in four children with Takayasu’s arteritis at Seoul National University Children’s Hospital in 1986. Successful results were obtained in all cases. But one child with narrowing of the innominate artery, thoracic aorta and occlusion of the left subclavian artery showed the most dramatic improvement clinically as well as radiologically because the lesions were focal. PT A is... |
Ninety-nine cases of ventricular septal defect with septal aneurysm which were confirmed by angiocardiography and 2-D echocardiography during the period of 2 years from 1983 to 1984 at SNUH were studied and analyzed. The summary of the findings are as follows: 1) Septal aneurysm was found in 99(26.9%) of 368 cases of total VSD and in 38.2% among membranous VSD.... |
We experienced 2 cases of Infantile Cortical Hyperostosis. Case I was 2V2 month old male who complained of irritability and tender swelling on extremities. Case I was 3 month old male who complained of deformities in both legs and irritability on handling above lesions. The diagnosis was established by typical clinical findings and radiological evidence A brief review of... |
The following results were obtained from a retrospective analysis of 21 cases of renovascular hypertension who were admitted to Pediatric Department, Seoul National University Hospital, during the period from January 1978 to December 1985. 1) Takayasu arteritis was the most common cause (15 out of 21, 71%), and fibromuscular dysplasia of renal artery was confirmed only in two (9.5%) cases. 2) Male... |
PRA in peripheral vein, both renal veins and both inferior vena cava (JVC) both proximal and distal to the drainage of the both renal veins was measured in 80 normotensive children with no renal disease undergoing routine cardiac catheterization due to congenital heart disease which did not cause significant hemodynamic changes in most of them. And we presented the results... |
Supravalvular stenotic ring of the left atrium is one of the rare anomalies, which is usually accompanied by other cardiac defects. It is very important to recognize its existence earlier and preoperatively. Main tools in. diagnosis are angiocardiography and echocardiography. We have experienced a patient with supravalvular stenotic ring of the left atrium with coexisted with VSD and PDA. M-mode... |
Clinical features of 20 patients who were diagnosed as tuberculous meningitis at Seoul National University Hospital from Jan. ’82 to Dec. ’82 were analyzed with special respect to their computed tomographic findings of the brain. Age at the onset of the disease ranged from 7 month. to 12 9/12 year with the mean age of 3 11/12 year. Fifteen cases were under... |
Pulmonary artery aneurysms are extremely rate and are seldom diagnosed during life. In true aneurysms, dilatation tends to be confined to the main trunk of the artery and degenerative changes in the wall are found. In 1971, Williams et al reported the first successful excision and replacement of the main pulmonary artery, including the bifurcation, with a dacron graft. Since... |