Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Volume 19, Issue 5
Displaying 1-2 of 2 articles from this issue
  • Kunitoshi Nakagawa, Satoshi Momono
    1999 Volume 19 Issue 5 Pages 613-616
    Published: July 31, 1999
    Released on J-STAGE: October 28, 2011
    JOURNAL FREE ACCESS
    A 72-year-old man who had undergone left nephrectomy for a primary renal cell carcinoma 17 years earlier was admitted because of melena. He was found to have severe anemia on clinical examination. Ultrasonography, CT, MRI, and angiography showed a solid, hypervascular tumor, 6 cm in diameter, in the uncinate process of the pancreas. Active bleeding from the tumor was observed in the duodenum on upper gastrointestinal endoscopy. The diagnosis of pancreatic metastasis was based on the patient's past history and angiographic demonstration of typical hypervascular tumor staining, and the patient was successfully treated by emergency pylorus-preserving pancreaticoduodenectomy. Histologically, the tumor corresponded to renal cell carcinoma, and pancreatic metastasis of renal cell carcinoma was diagnosed. The patient is alive 7 months later, with no evidence of recurrence.
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  • Michiaki Hata, Yoshinori Murao, Toshifumi Konobu, Shiroh Ueda, Yoshima ...
    1999 Volume 19 Issue 5 Pages 617-620
    Published: July 31, 1999
    Released on J-STAGE: October 28, 2011
    JOURNAL FREE ACCESS
    A case of emergency laparoscopic treatment of acute gastric volvulus in a 32-year-old man is reported. The patient did not have intraoperative or postoperative complications, tolerated oral feeding within 24 hours, and was discharged to his home 7 days after surgery. Acute gastric volvulus can be safely treated by laparoscopic techniques.
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