Journal of Yeungnam Medical Science

Hyun Sik Min

4 Articles

Primary Sclerosing Cholangitis: One Case Report.: T J Park, Hyun Sik Min, Bo Yang Suh, Koing Bo Kwun, Tae Sook Lee; Yeungnam Univ J Med. 1986;3(1):351-355. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.351

Abstract PDF: Sclerosing cholangitis is an uncommon disease which involves either all or part of the exrahepatic biliary duct system and, occasionally, affects the intrahepatic biliary radicles. The disease has also been called “obliterative cholangitis” and “stenosing cholangitis”, in reference to a progressive thickening of the bile duct walls encroaching upon the lumen. Several authors have proposed that the term “primary sclerosing cholangitis” be reserved for cases in which there are no associated diseases, and that all other cases be classified as “secondary sclerosing cholangitis.” Many rigid criterias have been established for the diagnosis of primary sclerosing cholangitis. Recently the authors experienced one case of primary sclerosing cholangitis which was coincided with rigid criterias and was confirmed by operation with histologic examination. We present our case and review the literatures.

Intestinal lipoma near the ileocecal calve Report of 3 cases and review of the literature.: Min Chul Shim, Soo Jung Lee, Hyun Sik Min, Koing Bo Kwun; Yeungnam Univ J Med. 1986;3(1):333-337. Published online December 31, 1986; DOI: https://doi.org/10.12701/yujm.1986.3.1.333

Abstract PDF: Three cases of intestinal lipoma near the ileocecal valve are described. In patients of cecal and ileocecal valve lipoma, they had right lower quadrant abdominal pain secondary to partial intestinal obstruction. In rarely developed segmental lipomatosis of the ileum, the patient had right abdominal mass and pain to fecal impaction of the diverticula. Diagnosis may be made by an abnormal roentgenographic pattern and confirmed by colonoscopy. Surgical removal of the affected segment results in cure in symptomatic patients.

Congenital Tracheoesophageal Fistula without Atresia of the Esophagus.: Dong Hyup Lee, Cheol Joo Lee, Hyun Sik Min; Yeungnam Univ J Med. 1985;2(1):253-258. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.253

Abstract PDF: The congenital tracheoesophageal fistula without atresia of the esophagus is considered a rare variant, and the literature concerned to the tracheoesophageal fistula fistula without atresia is little in adult especially. The 22-year-old male was admitted to Yeungnam University Hospital with his chief complaints of weight loss (6 kg/6 months), abdominal discomfort, and intermittent coughing. The diagnosis was made by the endoscopy and esophagography. The fistula was 1.5 cm in diameter, 0.5 cm in length. The level was around second thoracic vertebra. The operation was performed transpleurally through the right third intercostals space and the fistula was secured with interrupted silk suture after division. The fibrotic adhesion was seen around the tracheoesophageal fistula. The postoperative course was uneventful, and postoperative esophagogram revealed no extraluminal leakage. Herewith we report this unusual case of isolated tracheo-esophageal fistula with review of literatures.

Ultrasonographic Features of Intra-abdominal Abscess.: Kil Ho Cho, Kyung Hee Jung, Mi Soo Hwang, Jae Chun Chang, Koing Bo Kwun, Hyun Sik Min; Yeungnam Univ J Med. 1985;2(1):87-93. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.87

Abstract PDF: Intraabdominal abscess usually causes distress with fever, leukocytosis, pain and toxicity. Diagnosis of intraabdominal abscess is occasionally difficult and it has high morbidity. However radiologic method, such as ultrasonography, CT scan, or RI scan are helpful to early detection of intraabdominal abscess. Among these methods, ultrasonography is a noninvasive technique and performed without discomfort to patient. And also differential diagnosis between cystic and solid lesion is very easy and sequential ultrasonography in same patient is valuable for the evaluation of treatment effect. We analyzed the ultrasonic features of 48 cases with intraabdominal abscesses and the results are as follows; 1. In total 48 cases, the intraabdominal abscesses were 30 cases, the retroperitoneal abscesses, 5 cases, and the visceral abscesses, 13 cases. 2. The causes of the intraabdominal abscesses were perforating appendicitis (25 cases), postoperative complications (5 cases), pyogenic and amebic hepatic abscesses (13 cases), and the other (5 cases). 3. Round or oval shaped lesions were 26 cases (54%), irregular shape, 18 cases (38%), and multiple abscess formation in 4 cases (8%). 4. The size of the lesions were between 5 and 10cm in diameter in 54% of total 48 cases, and the most frequent feature of the echo pattern of the lesions was cystic with or without internal echogenicity (69%).

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