Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
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Volume 125, Issue 3
Displaying 1-17 of 17 articles from this issue
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The 2012 Okayama Medical Association Awards
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Case Reports
  • Two operated cases of mesenteric abscess caused by penetration of the transverse colon associated with a diverticulum
    Naoaki Maeda, Hidenori Kondo
    2013 Volume 125 Issue 3 Pages 235-238
    Published: December 02, 2013
    Released on J-STAGE: January 06, 2014
    DOIhttps://doi.org/10.4044/joma.125.235
    JOURNAL FREE ACCESS
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      We encountered 2 cases of penetration of fecal matter through a diverticulum of the transverse colon, which is a rare disease. Case 1 was a 33-year-old man who was examined in the clinic with a complaint of epigastralgia. Tenderness and muscular defense were found in the upper abdomen. On abdominal CT examination, wall thickening and increased fat concentration were seen in the transverse colon. He was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon close to the liver curvature. The patient was diagnosed with mesenteric abscess due to penetration of fecal matter through a diverticulum of the transverse colon. Right hemicolectomy was carried out. Case 2 was a 43-year-old woman who was examined in the clinic with a complaint of right lower abdominal pain. Muscular defense and rebound tenderness were found in the lower abdomen. On abdominal CT examination, abscess formation was seen in the right lower abdomen. She was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon. The patient was diagnosed with mesenteric abscess due to penetration of the transverse colon associated with a diverticulum. Partial removal of the transverse colon was carried out.
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  • A case of appendiceal diverticulum resected by laparoscopic surgery with preoperative diagnosis of appendiceal tumor
    Takayuki Ninomiya, Yasutomo Ojima, Masao Harano, Satoshi Ohno, Shigehi ...
    2013 Volume 125 Issue 3 Pages 239-242
    Published: December 02, 2013
    Released on J-STAGE: January 06, 2014
    DOIhttps://doi.org/10.4044/joma.125.239
    JOURNAL FREE ACCESS
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      Appendiceal diverticulum is rare. We encountered a case of appendiceal diverticulum with chronic appendicitis. A 56-year-old man presented to our hospital with right lower abdominal pain. An abdominal computed tomography (CT) scan showed swelling of the appendix body and the wall thickness of the base of the appendix. Due to the possibility of appendiceal tumor, we performed a laparoscopy-assisted ileocecal resection with lymph node dissection. The appendix had a diverticulum with chronic inflammation, but it did not have a neoplastic lesion.
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