• Journal of Korean Foot and Ankle Society
• /
• v.23 no.2
• /
• pp.67-70
• /
• 2019

Septic arthritis is a serious medical condition that can lead to significant complications if misdiagnosed or mismanaged. A rare case of a 1st metatarso-phalangeal joint septic arthritis in a native joint is presented in a patient with no significant risk factors. A 41-year-old patient was referred by his general practitioner owing to ongoing pain and swelling over his native 1st metatarso-phalangeal joint with difficulty on weightbearing for three months. After a series of investigations, including blood tests and a foot magnetic resonance imaging, which were inconclusive, the patient was led to the operating theatre for sampling and washout of his joint. The samples taken in the theatres revealed septic arthritis with Streptococcus mitis as the causative microorganism. The patient was treated with six weeks of oral antibiotics with a good functional outcome. This case report illuminates this rare condition and makes foot and ankle surgeons aware of its existence. A high suspicion for this condition can prevent misdiagnosis and mismanagement.

• Archives of Plastic Surgery
• /
• v.35 no.1
• /
• pp.96-99
• /
• 2008

Purpose: A meningoencephalocele is a congenital malformation involving herniation of the meninges and cerebral tissue through a defect in the skull. For the patient with frontoethmoidal meningoencephalocele with hypertelorism, the removal of the meningoencephalocele without correction of the combined hypertelorism is not enough for getting a good cosmetic appearance. Correction of the hypertelorism is needed for cosmetic problem. We experienced a case of simultaneous correction of frontoethmoidal meningoencephalocele with hypertelorism. Methods: The meningoencephalocele was removed and the hypertelorism was corrected by central segment technique. The bone defects were filled with autogenous bone dusts. And the nose was reconstructed by a calvarial bone graft. Results: The patient had a good cosmetic appearance without any neurological complications without serious complications. Conclusion: We experienced a case of simultaneous correction of frontoethmoidal meningoencephalocele with hypertelorism. And a brief review of related literatures is given.

• Journal of the Korean Geographical Society
• /
• v.37 no.2
• /
• pp.143-160
• /
• 2002

Since the 1990s, arable lands in mountainous areas of South Korea have widely been abandoned due to the serious depopulation for the last few decades. Abandonment of arable lands causes not only a decline in production functions of mountainous villages, but also landscape desolation and environmental problems. Due to same cause, Japan has also experienced the serious abandonment of arable lands in mountainous areas since the 1960s. For the last decade, Japanese government has poured investment to the conservation of terraced paddy fields in hilly and mountainous areas in order to restore those environment values. The attempts of Okayama prefecture for the conservation of terraced paddy fields are well known as a successful story in Japan. In order to suggest an effective conservation means far arable lands in mountainous areas in the context of Korea, this paper examines the background and the implementation means of Japanese conservation policy of terraced paddy fields in hilly and mountainous area, focusing on the case of Okayama prefecture.

• Journal of Chest Surgery
• /
• v.12 no.1
• /
• pp.50-55
• /
• 1979

The development of aortic insufficiency radically alters the physical findings which are generally associated with ventricular septal defect that was not hemodynamically significant, and the combination of the two lesions produces a typical clinical picture, that may be serious and life-threatening when it is left untreated. Therefore, the selection of patients, type and timing of surgical treatment is considered to be important. Among 114 cases of ventricular septal defect treated surgically utilizing cardiopulmonary bypass in the Department of Thoracic Surgery, Seoul National University Hospital, 7 cases were associated with aortic insufficiency. 1. Five cases were male, and 2 cases were female. Ages were from 4 years to 24 years, and mean age was 11.9 years. 2. In all cases, ventricular septal defect was closed with Teflon patch. In a case, a aortic valvuloplasty and in another, a aortic valve replacement with Hancock valve 23 mm., 5 months after the closure of ventricular septal defect were done. 3. Four cases were type I ventricular septal defect by Kirklin`s classification, 3 cases were type II ventricular septal defect, and diameters of ventricular septal defect were from 3.5 cm. to 0.7 cm. A PDA. was combined to a type I ventricular septal defect. 4. In 5 cases, herniation of the aortic cusp through the ventricular septal defect and in a case, annulus dilatation on the aortic valve was noted. 5. Two cases with type I ventricular septal defect and severe pulmonary hypertension expired. A re-opened case with type II ventricular septal defect expired. 6. Four cases were alive, and all of them show decrease of pulse pressure and aortic insufficiency.

• Journal of Chest Surgery
• /
• v.8 no.1
• /
• pp.51-56
• /
• 1975

The typical traction diverticulum of the mid-thoracic esophagus is conical or funnel shaped with a wide orifice, is small (rarely exceeding 2cm in length), and is situated horizontally or extends superiorly. It is a true diverticulum, having a complete investment by the esophageal muscle coats. Each of these characteristics promotes easy emptying of the diverticulum. Since food accumulation is presented, there is no tendency to progressive enlargement of the sac, and no associated dysphagia. The diverticula of mid-esophagus rarely develop and rarely produce symptoms. When symptoms develop, they are usually caused by granulomatous infections of the mediastinal lymph nodes. And also such diverticula only rarely give rise to significant complications, the most serious of which is a tracheobronchial fistula. Generally when such complications develop or a diverticulum itself produces symptoms, moderate or severe, surgery intervenes. A case of mid-esophageal diverticulum, traction type, which surgically treated with good results, was experienced at the Department of Thoracic Surgery of Kyung-Pook University. School of Medicine. In this case, there were substernal discomfort, acid regurgitation, and back pain for about 6 months. On the operative findings, it was noticed that the diverticulum was developed by traction and adhesion of perihilar nodes to the esophageal wall. The diverticulum was a small finger tip size and the neck of it was obscure. The surrounding inflammatory change was minimal.

• The Korean Journal of Pain
• /
• v.20 no.2
• /
• pp.235-239
• /
• 2007

Spontaneous intracranial hypotension (SIH) is believed to be a benign disease. However, numerous studies have reported serious complications related to SIH, including subdural hematoma. In this case report, a 54-year-old male patient visited the emergency room with orthostatic headache. A brain magnetic resonance imaging (MRI) study showed diffuse mild thickening and enhancement of pachymeninges, with a suspicious minimal amount of subdural fluid collected in the left posterior parietal area. His orthostatic headache showed no improvement with conservative treatment; but his pain was almost completely relieved after two trials of cervical epidural blood patch. On the 74th day after the onset of his pain, the patient showed a drowsy mental status and slurred speech when he visited the pain clinic. Brain computerized tomography indicated a left subdural hemorrhage, and he underwent emergency operation to drain the SDH. In conclusion, pain clinicians should pay attention to abrupt changes in mental status as well as continuous headache, for the early diagnosis of SDH in SIH patients.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.1 no.1
• /
• pp.115-119
• /
• 1998

Congenital bronchoesophageal fistula associated esophageal atresia usually presents in the newborn period or infancy but those without esophageal atresia are more insidious in disease process. Symptoms which include cough, hemoptysis, choking on swallowing liquids, uncommonly dysphagia, and epigastric discomfort may not begin until adult life. Most of the cases are curative unless there are serious underlying conditions. The diagnosis is usually made by gastroesophagoscopy, esophagogram, bronchogram and bronchoscopy. And the most of the cases can be cured by fistulectomy and resection of involved pulmonary lobes. We experienced one case of congenital bronchoesophageal fistula which occurred in a 13- year-old girl who complained of paroxysmal cough and intermittent hematemesis for 3 years.

• Journal of Chest Surgery
• /
• v.15 no.1
• /
• pp.73-76
• /
• 1982

For the treatment of acute respiratory failure and emergency care of an urgent patient, tracheostomy in itself may have been a life saving procedure. But, among the variable complications following tracheostomy, the tracheal stenosis gives serious clinical manifestation which can only be corrected by surgical intervention in many occasions. At the Dept. of thoracic surgery, CAFGH, we have experienced one case of tracheal stenosis following tracheostomy for assisted ventilation. Tracheogram showed a 2.5 cm segmental narrowing 5 cm below the tracheostoma. Before recon-struction, we tried to dilate the stenotic segment for about 2 months, but the result was not satisfactory to relieve dyspnea. So, we resected the narrowed segment and tracheal reconstruction was performed with an excellent result in postoperative periods till now.

• Journal of the Korean Institute of Landscape Architecture
• /
• v.26 no.2
• /
• pp.283-292
• /
• 1998

The purpose of this study is to suggest visual resource management methods for the national parks and adjacent areas, where visual impacts by high rise buildings such as hotel, condominium, etc. become serious problems. In this study Soraksan National Park has been selected as a case study for landscape management planning. The results of this study are as follows: 1) Comprehensive landscape management planning for National Parks and adjacent areas is necessary to solve visual impact problems by high rise buldings such as hotel, condominium, etc. 2) It is suggested to investigate visual resources and conceptual landscape management ideas, to select landscape control points and lines, landscape management areas, and to prepare building height control plan for proper landscape management plan. 3) In case of Soraksan national park, the landscape management plan includes three landscape management areas : Landscape preservation area, General landscape management area, and special landscape management area. 4) In the part of special landscape management area, it is necessary to introduce landscape impact assessment system to more effective landscape management.

• Journal of The Korean Society of Clinical Toxicology
• /
• v.4 no.2
• /
• pp.166-169
• /
• 2006

Poisonings caused by 'mad honey' are known to occur in response to grayanotoxins, which bind to sodium channels in the cell membrane, increasing membrane sodium permeability and preventing inactivation. Mild symptoms of mad honey intoxication are dizziness, weakness, hypersalivation, nausea, vomiting, and paresthesia. Severe intoxication, however, leads to serious cardiac manifestations such as atrioventricular block, dose-dependent hypotension, bradycardia, and respiratory depression. Atropine and vasoactive drugs improve symptoms of both bradycardia and respiratory rate depression. We report an unusual case of saliva-type hyperamylasemia in a mad honey poisoning patient who developed clinically significant bradycardia. She recovered fully within 3 days following atropine administration and medical treatment.