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Xanthogranulomatous Inflammation of Urachus
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Jeong Hyun Oh, Jae Min Chung, Seong Choi
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Korean J Urogenit Tract Infect Inflamm 2013;8(1):55-58. Published online April 30, 2013
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- Urachal xanthogranuloma is an extremely rare disease. An 18-year-old male presented with lower abdominal pain, hematuria, and dysuria. An urachal mass with bladder invasion, which was suspected to be an urachal carcinoma or abscess, was observed on computed tomography. Exploratory laparotomy, excision of the urachus, and partial cystectomy was performed by way of a lower midline incision. Histopathologic examination identified the mass as an urachal xanthogranuloma.
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Ureterosigmoidal Fistula Complicated by Crohn's Disease
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Jeong Hyun Oh, Jae Min Chung, Seong Choi
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Korean J Urogenit Tract Infect Inflamm 2012;7(1):73-76. Published online April 30, 2012
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- We report a case of ureterosigmoidal fistula in a 38 year-old-man with Crohn's disease, who was presented with pneumaturia and feces in urine. Computed tomography showed a fistula between the right ureter and the sigmoid colon, which was successfully managed with right transureteroureterostomy.
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Emphysematous Cystitis Associated with Prostate and Urethra Involvement
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Jae Min Chung, Jeong Hyun Oh, Su Hwan Kang, Seong Choi
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Korean J Urogenit Tract Infect Inflamm 2011;6(1):80-83. Published online April 30, 2011
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- Emphysematous cystitis is primary infection of the bladder with gas production by bacteria. The infection is uncommon but commands clinical importance due to its morbidity and mortality potential. We report a 54 year-old man with emphysematous cystitis associated with prostatic and urethral involvement. He was managed with antibiotics and suprapubic catheterization.
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Lupus Cystitis Associated with Pediatric-onset Systemic Lupus Erythematosus
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Jae Min Chung, Geun Tae Kim, Seong Choi, Jae Sun Park
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Korean J Urogenit Tract Infect Inflamm 2010;5(1):87-92. Published online April 30, 2010
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- Systemic lupus erythematosus (SLE) is a disease of unknown cause which involves various organs and primary involvement of urinary bladder is very rare. We experienced a case of a girl aged 12 years who was diagnosed as SLE associated with paralytic ileus and urologic manifestations (interstitial cystitis, hydroureters and hydronephrosis). To our knowledge, the combination of paralytic ileus and interstitial cystitis is quite uncommon in pediatric-onset SLE.
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Cystic Renal Cell Carcinoma Mimicking a Renal Abscess
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Jae Min Chung, Kyu Seop Kim, Seong Ju Kim, Byung Ju Sung, Sang Don Lee, Seong Choi
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Korean J Urogenit Tract Infect Inflamm 2008;3(2):249-252. Published online October 31, 2008
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- Cystic renal cell carcinoma is one form of renal cell carcinoma. The radiographic and pathologic findings of cystic renal cell carcinoma are often more confusing and less specific than the findings of solid renal cell carcinoma. We report a case of cystic renal cell carcinoma mimicking a renal abscess.
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Renal Abscess Treated with Double J Catheter Insertion
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Jae Min Chung, Seong Ju Kim, Byung Ju Sung, Sang Don Lee, Seong Choi
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):217-220. Published online October 31, 2007
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- Renal abscess is uncommon and has variable symptoms of insidious onset. The most common pathogens are Escherichia coli. The patients with renal abscess usually present with fever, chills, abdominal or flank pain, and occasionally weight loss and malaise. Renal abscesses can be treated in various fashions. In these patients, renal abscess with hydronephrosis that does not respond to antimicrobial therapy was improved with double J catheter insertion.
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Affecting Factors on the Treatment of Acute Pyelonephritis
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Jae Min Chung, Seong Choi, Sang Don Lee
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Korean J Urogenit Tract Infect Inflamm 2007;2(1):73-77. Published online May 31, 2007
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- "Purpose: We analyzed the clinical aspects of acute pyelonephritis patients who received hospitalization treatment and the factors to effect a therapy session. Materials and Methods: We evaluated 108 patients with acute pyelonephritis who underwent hospitalization treatment between January 2003 and May 2006. The patients were divided into two groups by history taking, radiological and laboratory finding: group A consisted of 60 patients without co-morbid condition and group B consisted of 48 patients with co-morbid conditions. Comparisons of the two groups were made using independent t-tests with hospitalized durations, uropathogen types, clinical improvement durations, laboratory improvement durations and co-morbid conditions. Results: The analysis included 108 patients with a male to female sexual ratio of 1:7.3, a mean age of 51.3±16.8 years and a mean number of hospitalized days of 9.7±9.2 days. The co-morbid conditions were hypertension in 18 patients (16.7%), LUTS in 16 patients (14.8%), and diabetes mellitus in 15 patients (13.9%). The hospitalized durations of two groups were 7.4±3.3 and 10.5±6.2 days in group A and B. The uropathogen types were all E. coli in group A, whereas E. coli, Pseudomonas and Enterococcus were isolated in group B. Clinical and laboratory improvement duration of group A was significantly shorter than group B. The longer hospitalized duration of group B was seen in chronic renal failure and diabetes mellitus patients for 10.4±5.4 and 14.0±4.3 days and the longer laboratory improvement duration of group B was seen in chronic renal failure and diabetes mellitus patients for 5.3±5.2 and 5.9±5.5 days. Conclusions: We concluded that the acute pyelonephritis with co-morbidity conditions need longer hospitalized days than that without co-morbidity conditions. Two variable (diabetes mellitus, chronic renal failure) that predicted a poor response after therapy for acute uncomplicated pyelonephritis. The more variable uropathogen were identified in a urine culture with co-morbidity conditions."
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