This is a case report of multiple coil embolization for the diffuse pulmonary arteriovenous malformations( PAVM). PAVMs are direct communications between pulmonary arteries and pulmonary veins, resulting in an anatomic right-to-left shunt that may cause paradoxical embolization to may occur, resulting in neurologic complications such as stroke or cerebral abscess. The treatment of choice for solitary PAVMs was limited to surgical resection or ligation... |
Purpose : Polymerase chain reaction(PCR) has generally been more sensitive than traditional tests for the detection of Chlamydia trachomatis which has been a leading cause of sexually transmitted disease. We performed this study to find out if there is an association between C. trachomatis infection and low birth weight(LBW) or prematurity. Methods : The study included 98 premature or LBW infants... |
Chloral hydrate is widely used as a sedative or hypnotic, especially in pediatric patients, but cardiac arrhythmia following chloral hydrate administration has rarely been reported in literature up to date. The most common cardiac arrhythmia is ventricular extrasystole. We describe a 17- year-old Down syndrome patient who developed a life-threatening cardiac arrhythmia developed after chloral hydrate administration of 100mg/kg body... |
Omphalocele-exstrophy-imperforate anus-spinal defects(OEIS Syndrome) is a single defect in early mesoderm, and its incidence is about one in 250,000. If was first described by Littre in 1709. The characteristics of this disorder is omphalocele, extrpohy of bladder, imperforate anus and spina bifida. There have been reports of longtime survival made possible by several operations, but for most cases normal life... |
Purpose : Acinetobacter species are aerobic gram-negative rods that can be widely found in nature and are a part of the normal flora of humans. The most clinical isolates of A. baumannii reflect infection rather than colonization. Recent reports suggest that the organisms cause serious and often fetal nosocomial infection such as ventilator-associated pneumonia. Methods : From March to September 1998, we experienced thirty... |
Purpose : One of the new methods for diagnosing congenital cardiovascular diseases is the spiral CT and three-dimensional image reconstruction. The spiral CT allows continuous data collection while the subject is advanced through the CT gantry, it provides an uninterrupted volume of data that can be reconstructed to produce a three-dimensional representation of CT information and also this method has... |
Ceftriaxone, a potent third-generation semisynthetic cephalosporine, is widely used for treatment various bacterial infections in children. There have been some reports that transient appearance of gallbladder sludge was often demonstrated by abdominal sonography in patients treated with ceftriaxone. Reversible biliary pseudolithiasis was used to describe this phenomenon. We present a case of biliary pseudolithiasis which appeared to be related to intravenous ceftriaxone therapy in children who... |
Congenital dislocation of the knee is rare deformity. Since its first description by chatelaine in 1822, many authors have been proposed. The authors experienced two cases of congenital dislocation of the both knees and a brief review of the related literatures was made. |
Je Geun Chi, M.D. Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea We herein presented a case of retroperitoneal immature teratoma in a 4 month-old boy who had a huge intra abdominal mass with hypertension, sweating and loose stool. The pre-op diagnosis as well as a post-op diagnosis was a intrarenal mass (R/0 Wilms' tumor) which was later confirmed to be a... |
Esophageal atresia with tracheoesophageal fistula is a rare congenital anomaly. A case of esophageal atresia with tracheoesophageal fistula in premature infant was experienced at Han II hospital. The diagnosis was suspected by difficulty in insertion of oropharyngeal tube in operating room and was confirmed by esophagogram. Fluid and antibiotics were given immediately, but the patient expired on nineth day after... |
Gastroschisis is a rare congenital defect in the anterior abdominal wall through which abdominal organs eviscerate. A normal umbilical cord insertion, an extraumbilical location of the abdominal wall defect, and the absence of a covering sac or its ruptured remnants serve to differentiate gastroschisis from omphalocele. A case of gastroschisis to which surgical intervention was not helpful was presented and a... |
A case of acardiac twins to a 30 year-old primiparous mother is presented. This case was diagnosed to have this anomaly by ultrasonography at 28 weeks and 33 weeks of gestation. The acardiac monster was delivered as the second twin without any signs of Life. It weighed 2,175 gms and was connected to the placenta by an umbilical cord having... |
We experienced a case of female pseudohermaphroditism with congenital adrenal hyperplasia. The patient, a 10 day old female infant, was presented characteristic findings such as ambiguous sex and dehydration. The vaginogram revealed normal internal genital organs. The chromosome analysis was 46, XX. The electrolyte study showed hyponatremia and hyperkalemia. The 24 hours urinary 17-ketosteroid and 17-OHCS were 2.5 mg and 0.9 mg... |
A case of aplastic anemia following hepatitis is presented. A 13-year-old boy was admitted due to unexpected bleeding manifestations after recovery from hepatitis. There was marked pancytpenia and examiation of bone marrow revealed remarkable hypoplasia. His clinical course became worsened despite antibiotics, multiple transfusions and therapy with corticosteroid, oxymetholone. Related literatures are also briefly reviewed. |
A case of tricuspid atresia in 50 day old male infant was presented. In cardiac catheterization, catheter was introduced from right greatsaphenous vein to the right atrium where the introducing of catheter was no more possible, despite of many efforts, but the catheter was passed into the left atrium through the foramen ovale. On angiocardiography, placing the catheter in right atrium,... |
Intussusception is one of the most common abdominal emergercies in infancy and childhood. In most instances, intussusception develops idiopathic form. Only in minor instances, the causes are found. In the method of treatment, some insist the primary operative measure, some the primary barium reduction. This is a clinical study of 80 cases who were admitted to Wonju Christian Hospital, affiliated... |