岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
123 巻, 2 号
選択された号の論文の16件中1~16を表示しています
特別企画
平成22年度岡山医学会賞
総説
原著
  • 福本 良之
    2011 年 123 巻 2 号 p. 119-127
    発行日: 2011/08/01
    公開日: 2011/09/01
    ジャーナル フリー
    In this study, a subset of medical malpractice lawsuits that are preventable was evaluated using qualitative data. The objective of this study is to help reduce the number of avoidable medical malpractice lawsuits. This qualitative study could pave the way to future quantitative studies. The analysis of the qualitative data revealed that in the vast majority of medical malpractice lawsuits filed by patients and their families there were (1) an occurrence of unexpected bad outcomes, (2) inadequate explanation by the patient's physician, and (3) involvement of an instigator who encouraged the lawsuit. That is, the failure of a physician to provide an adequate explanation to a patient or the inappropriate conduct of a physician after unexpected bad results, with or without an instigator's involvement, is the main reason patients file medical malpractice lawsuits. The physician providing an adequate explanation to patients after unexpected bad results (adequate post-event explanation) is the pivotal determinative factor in preventing avoidable medical malpractice lawsuits.
症例報告
  • 西江 学, 大塚 真哉, 友田 純, 藤原 敬士
    2011 年 123 巻 2 号 p. 129-132
    発行日: 2011/08/01
    公開日: 2011/09/01
    ジャーナル フリー
    We report herein a case of mesenteric Castleman's disease which was confirmed on pathology. A 60-year-old man was admitted to our hospital complaining of abdominal pain. On the physical examination, there was no palpable mass. Computed tomography findings and magnetic resonance imaging revealed a well circumscribed, lobulated round mass on the right side of the superior mesenteric vein. Laparoscopic surgery for the mesenteric tumor was carried out to obtain a definite diagnosis and treatment. In the operative field, the mass was located on the ascending colic mesentery and measured about 3 cm in size. It was solid and surrounded by a thin fibrous capsule. The histological diagnosis of the mesenteric tumor was hyaline vascular type Castleman's disease. The postoperative course of the patient was uneventful, and he was discharged on the 10th postoperative day.
  • 西江 学, 岩川 和秀, 濱野 亮輔, 徳永 尚之, 常光 洋輔, 大塚 真哉, 稲垣 優, 岩垣 博巳, 合原 大博, 藤田 勲生, 村上 ...
    2011 年 123 巻 2 号 p. 133-136
    発行日: 2011/08/01
    公開日: 2011/09/01
    ジャーナル フリー
    Phlegmonous gastritis is a rare inflammatory lesion in which bacterial infection occurs in the gastric wall. A 92-year-old man was admitted to the medical ward due to early gastric cancer. The patient received endoscopic submucosal dissection (ESD), and he complained of sudden-onset upper abdominal pain the day after ESD. On physical examination he showed rebound tenderness in the upper abdomen. The white blood cell count was 16,100/μl, and an abdominal CT-SCAN showed diffuse and irregular thickening of the gastric wall. At emergency operation, a subtotal gastrectomy was performed, and the patient had an uneventful recovery.
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