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태아성별(胎兒性別)에 따른 양수중(羊水中) Testosterone과 F.S.H.의 동태(動態)에 관(關)한 연구(硏究)
고민환,신면우,Koh, Min-Whan,Shin, Myon-Woo 대한생식의학회 1979 Clinical and Experimental Reproductive Medicine Vol.6 No.1
To determine whether hormone analysis of amniotic fluid could be used for accurate determination of fetal sex, we measured testosterone(T) and follicle-stimulating hormone in 19 amniotic fluid samples. The mean T in amniotic fluid of 8 women earring male fetuses was 310 pg. per milliliter and of 11 women earring female fetuses was 150 pg. per milliliter (P<0.05${\ast}$). The mean amniotic fluid FSH of 1.16 mI.U. per milliliter for 7 women with male fetuses was over trifold lower than that for subjects with female fetuses. The mean amniotic fluid FSH of female fetuses was 3.85 mI.U. per milliliter (P<0.01${\ast}$) Measurement of T & FSH in amniotic fluid may be an adjunct method for fetal sex determination.
성경험이 없는 여성에서 발생한 황색육아종성 난소염 1예
고민환 ( Min Whan Koh ),김진희 ( Jin Hee Kim ),김미진 ( Mi Jin Kim ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7
Xanthogranulomatous inflammation is an uncommon form of chronic granulomatous inflammation that is characterized by the presence of lipid-filled histiocytes with lymphocytes, plasma cells and neutrophils. It is best known to occur in the kidney.1,3 Other organs in which xanthogranulomatous inflammation has been reported are the gallbladder, stomach, anorectal area, bone, urinary bladder, testis, epididymis and female genital tract.2,4-12 Only a few cases of xanthogranulomatous oophoritis have been reported to date.10,14-19 Infection has been thought to be the main etiologic factor in the pathogenesis of xanthogranulomatous lesion.13,17 The pathogenesis of xanthogranulomatous inflammation remains still unclear. Other proposed causes are abnormality in lipid metabolism, endometriosis and ineffective clearance of bacteria by phagocytes.13,16-7 We describe a case of a xanthogranulomatous oophoritis in a 23-year-old virgin which associates with hemorrhagic ovarian cyst and minimal association of pelvic inflammatory disease.
고민환(Min Whan Koh),박성준(Sung Jun Park),이강혁(Kang Hyuk Lee),장영진(Young Jin Jang),이태형(Tae Hyung Lee) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.1
Spontaneous rupture of subcapsular liver hematoma in pregnancy is rare but potential life threatening complication of preeclampsia. We experienced a case of spontaneous rupture of subcapsular hematoma of liver that was treated with conservative method. So, we present the case with a brief review of literatures as first report in Korea.
급성 골반 복막염의 복강경 조기 배농치료의 임상적 효과
고민환 ( Min Whan Koh ),배연경 ( Yeun Kyoung Bae ),최윤영 ( Yoon Young Choi ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.8
Objective: The purpose of this study was to evaluate the clinical efficacy of the early pelviscopic intervention in the acute pelvic inflammatory disease of reproductive aged female. Methods: A clinical evaluation for 30 women who underwent pelviscopic pus drainage in the pelvic inflammatory disease from September 2001 to December 2004 was done. This study group was compared with the control group that 34 cases of intravenous antibiotics treatment performed and we evaluated the clinical and laboratory findings were recorded for all patients before and after treatment. Results: The mean hospital stay was 7.8 days and 6.9 days respectively (p=0.25). There was statistical difference in regarding to febrile status period, that is febrile status was significantly improved in pelviscopy group. The febrile status of the study group was normalized within postoperative third day except 1 case that postoperative hematoma was formed in cul de sac, but it was not normalized within hospital fifth day in 6 cases (27%) of the control group (p=0.05). But there was no statistical difference between the two groups in regarding to clinical symptom free period except febrile status, WBC count change, and ESR/CRP count change. Conclusion: In this study, no significant difference was found between the two groups in regarding to clinical progress. But this study suggested that the early pelviscopic pus drainage was effective first line treatment method for the acute pelvic inflammatory disease with less complications and relatively rapid clinical improvement. However further study with more expanded cases that early pelviscopic intervention was done for the prevention of long term complications of pelvic inflammatory disease will be needed.
골반염의 감별진단에 관한 복강경의 유용성 골반염으로 오인된 충수돌기염 4예
이대형 ( Dae Hyung Lee ),고민환 ( Min Whan Koh ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.12
The pelvic inflammatory disease (PID) occurs when microbacteria ascend via vagina to the upper genital organs such as endometrium, tubes, ovaries and even pelvic peritoneum as a result of infected intercourse. That could be presented as perihepatitis, parametritis, intraperitoneal pelvic inflammatory disease, not to mention endometritis, salpingitis and tubo-ovarian abscess. Symptoms and signs of PID resembles those of several abdominal diseases such as acute appendicitis, acute gastroenteritis, ectopic pregnancy, and adnexal torsion. Especially differentiation of acute appendicitis from PID is very important because acute appendicitis must be treated by operation but PID could be treated by surgery or antibiotics only even though their symptoms and signs are very alike. So, diagnostic pelviscopy for PID is very important for differential diagnosis and further management. We experienced and report four cases of appendicitis that could not be diagnosed differentially from PID which managed with the emergent pelviscopy successfully.
이대형 ( Dae Hyung Lee ),고민환 ( Min Whan Koh ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.3
Hair tourniquet syndrome refers to the strangulation of appendages by a thread of human hair. This condition can lead to ischemic injury of these appendages. Thus, to avoid constrictive injury, prompt recognition and treatment are very important. Affected areas include fingers, toes, and genitalia. Hair tourniquet syndrome involving the labium minora is extremely rare. We here report a case of hair tourniquet syndrome involving the labia minora in an 11-year-old girl.
신생여아의 음핵크기 및 음핵비대와 남성호르몬치와의 상관관계
이강혁(Kang Hyuk Lee),고민환(Min Whan Koh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.9
Objective : To determine clitoral size of Korean newborn and androgen hormone levels in clitomegalic newborn. Methods : The clitoral sizes of 236 Korean female newborn and mother were measured from January in 2000 to March in 2001. Androgen hormone levels were obtained in 11 infants with clitomegaly in order to evaluate the relationship between clitoral hypertrophy and androgen levels. Results : The mean clitoral size of the 236 newborn was 3.82±1.47 mm in length and 2.95±1.79 mm in width. The mean clitoral size of the 236 postpartum women was 15.8±1.03 mm in length and 3.27±1.12 mm in width. In the premature infants the clitoral length and width were 4.45±1.79 mm and 3.53±1.51 mm respectively. In the normal birth weight infants they were 3.70±0.75 mm and 2.02±0.84 mm respectively. In clitomegalic infants the clitoral size was 5.8±0.7 mm in length and 3.7±0.4 mm in width. The serum testosterone level was 1.620±0.015 nmol/L and dihydrotestoteronesulfate (DHEAS) level 8.44±0.01 nmol/L. Conclusion : There was no significant correlation between gestational age and clitoral size, but significant negative correlation was found between birth weight and clitoral size. In 11 clito-magalic infants serum androgen was normal level. Also, there was no different clitoral size between clitomagalic infant mothers and normal infant mothers. These results suggest that there would be no significant correlation between infantile clitomegaly and androgen level.