http://hdl.handle.net/10564/1529 1999-02 2026-04-10T15:40:42Z http://hdl.handle.net/10564/495 タイトル: 褐色細胞腫と甲状腺髄様癌を合併したMEN-type Ⅱa : Sipple症候群の1例 著者: 増田, 安政; 妻谷, 憲一; 植村, 天受; 大園, 誠一郎; 岡島, 英五郎; 平尾, 佳彦; 中谷, 敏也; 岡本, 新悟; 山中, 敏彰; 家根, 旦有 抄録: Here we report the details of a 53-year-old male patient with MEN-type Ⅱa (multiple endocrine neoplasia type Ⅱa). He underwent extirpations of thyroid gland and bilateral adrenaal glands. Pathological diagnosis revealed medullary carcinoma of the thyroid gland and pheochromocytoma. Pathogenesis and management for this rare condi- tion is discussed. 1999-02-27T15:00:00Z http://hdl.handle.net/10564/494 タイトル: 内視鏡的に急性期および治癒期を観察し得た腸管出血性大腸菌O157 : H7による出血性腸炎の1例 著者: 池中, 康英; 櫻井, 伸也; 松下, 和広; 佐藤, 由美子; 諏訪, 好信; 松本, 真; 松本, 元嗣; 栗山, 茂樹; 岸田, 秀樹; 東野, 正; 玉川, 泰浩; 岡本, 新悟; 福井, 博 抄録: A 49-year-old woman was admitted to the hospital because of abdominal pain and bloody diarhea. Emergent colonoscopy was performed due to continuous bloody diarrhea on the following day after admission. Although edema, erosion, ulceration and hemorrhage were observed from the sigmoid colon through the cecum, inflammatory changes were more remarkable in the ascending colon with narrowing of the colon due to severe edema. Apparent inflammatory changes were not seen in the terminal ileum. Subsequently the stool culture was positive for Escherichia coli O157, resulting in the diagnosis of hemorrhagic colitis due to Escherichia coli O157 infection. Biopsy specimens revealed fibrin thrombosis in many vessels, closely similar to observations in ischemic colitis. It is therefore indicated that differential diagnosis from ischemic colitis is impor- tant. Her symptoms and inflammatory parameters improved with antibiotics without causing hemolytic-uremic syndromes, and no inflammatory findings were observed by colonoscopy performed on day 28 after the onset. 1999-02-27T15:00:00Z http://hdl.handle.net/10564/493 タイトル: A CASE OF CAROLI'S DISEASE ASSOCIATED WITH CHOLANGITIS, HEPATOLITHIASIS, AND POLYCYSTIC KIDNEY DISEASE : USEFULNESS OF THE MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY 著者: Nakagawa, Yoshihito; Ogawa, Shuji; Yabuta, Ikuo; Hayashi, Motomu; Yoshida, Hideaki; Fujimoto, Shinichi; Dohi, Kazuhiro 抄録: Caroli's disease is a rare congenital condition characterized by cystic dilatation of the intrahepatic bile ducts. A 74-year-old man with chronic renal failure complicated by polycystic kidney disease presented with jaundice and fever. Ultrasonography, non-contrast computed tomography, and magnetic resonance cholangiopancreatography (MRCP) were performed. Contrast medium was not administered because of the renal failure due to polycystic kidney disease. MRCP provided cholangiographic images of the biliary system. No hepatic fibrosis was observed on liver biopsied specimens. Based･ on the cystic dilatation of the intrahepatic bile ducts, stone formation, cholangitis, absence of hepatic cirrhosis, and association with cystic of the kidneys, a diagnosis Caroli's disease was made. 1999-02-27T15:00:00Z http://hdl.handle.net/10564/492 タイトル: 尿閉を伴った幼児卵巣類皮嚢胞腫茎捻転の1手術例 著者: 大山, 孝雄; 中野, 博重; 島野, 吉祐; 四宮, 洋一 抄録: The patient was a girl 2 years and seven months of age. Because of vomiting, she was examined by a pediatrician on November 25, 1993. Her condition seemed to improve a little, however on November 29, she suffered from fever and anuresis, and was hospitalized in a surgical department. Physical examination revealed a distended abdomen and tenderness in the abdomen, but no tumor. An ultrasound examination was performed on the abdomen and a CT scan was performed on the pelvis. From the results of these tests, the patient was diagnosed with torsion of tumor in the left ovary. Peritoneotomy was performed and the result of the surgery showed that the tumor originated from the right overy, and was incarcerated in the pelvic cavity, exerting pressure on the base of the bladder. The tumor was 7×6×6cm in size, and contained hair balls and 15g of serum. Pathohistologically, fatty tissues, as well as developed crinis and bone tissues were found. From these findings, the tumor was was diagnosed as ovarian dermoid cyst. It is extremely rare for ovarian dermoid cyst to occur in children, and in Japan, there have been few cases of ovarian dermoid cyst in children under 7 years of age. Nonetheless, because of their age, one must be careful when handling these cysts. 1999-02-27T15:00:00Z