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Volume 71, Issue 5
Displaying 1-6 of 6 articles from this issue
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Case Reports
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Yoshiki Hori, Junya Arakaki, Hironori Samura, Fumiko Kohakura2018 Volume 71 Issue 5 Pages 207-210
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSCase 1: A 62-year-old male was undergoing the Cape-OX regimen as adjuvant chemotherapy for stage IIIa ascending colon cancer. A blood test done before the second cycle of chemotherapy revealed chyle and triglyceride was 1,037 mg/dl. We suspected hypertriglyceridemia due to capecitabine. After discontinuing capecitabine, the hypertriglyceridemia resolved.
Case 2: A 62-year-old male was undergoing the capecitabine regimen as adjuvant chemotherapy for high-risk stage II rectal cancer. A blood test done after the second cycle revealed chyle. Triglyceride was 1,058 mg/dl, and we suspected hypertriglyceridemia due to capecitabine. After discontinuing capecitabine, the hypertriglyceridemia resolved.
Hypertriglyceridemia due to capecitabine is rare, but it is a high-risk factor for acute pancreatitis and must be considered.
Triglyceride level must be followed closely during the use of capecitabine.View full abstractDownload PDF (537K) -
Kazuhide Watanabe, Akira Takehara, Kazusige Shibahara, Masatoshi Sasak ...2018 Volume 71 Issue 5 Pages 211-215
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSWe report a very rare case of variceal bleeding occurring in colon-colon anastomosis of an 80 year-old male 18 years after the left half of the colon had been resected due to advanced colon cancer. We performed hemostasis of the varication with a colonoscope but bleeding occurred again 1 week later, so we removed the disease area surgically. The postoperative outcome was good. The varication broke out along an anastomotic region and the anastomosis operation and postoperative adhesion were estimated to be successful because there was no portal hypertension. This was an extremely rare complication of the lower gastrointestinal tract.View full abstractDownload PDF (1110K) -
Masamichi Ohtsu, Masahisa Ohkuma, Ken Eto, Katsuhito Suwa, Masahiro Ik ...2018 Volume 71 Issue 5 Pages 216-221
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSA 38-year-old male with ulcerative colitis (UC) since 28 years of age visited our institution in July 2008 complaining of right lower abdominal pain. Physical and radiographic examinations indicated acute appendicitis. Because he did not wish to undergo surgery, conservative treatment was given. Four months later, he suffered from right abdominal and back pain.
Abdominal CT and MRI scans revealed a solid lobulated tumor, 7×5 cm in diameter, in the ileocecal region with right hydronephroureter. Colonoscopic examination demonstrated findings compatible with mild ulcerative colitis and extrinsic compression of the cecum. The orifice of the appendix was not identified. Endoscopic ultrasonography revealed an isoand hypo-echoic extramural tumor with irregularity of the muscularis propria in the cecum. The diagnosis of appendiceal carcinoma invading the cecum and right ureter was established, and he underwent right hemicolectomy. Histopathological examination revealed adenosquamous carcinoma of the appendix (pT4b, pN2 (5/29), cM0, fStage IIIb). To our knowledge, this is the first reported case of adenosquamous carcinoma of the appendix in association with ulcerative colitis.View full abstractDownload PDF (2769K) -
Jun Kataoka, Toshikatsu Nitta, Masato Ota, Tomo Tominaga, Kensuke Fuji ...2018 Volume 71 Issue 5 Pages 222-227
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSWe describe the case of an 82-year-old female patient who suffered stenosis of the small intestine after cardiopulmonary arrest (CPA). She was in hospital due to percutaneous coronary intervention (PCI), and suffered cardiopulmonary arrest after PCI. Through cardiopulmonary reanimation for twenty minutes, she returned to spontaneous circulation. However, she vomited for thirty days after CPA, and various examinations showed tubular stenosis 3 cm in diameter at the terminal ileum.
The symptoms were not improved by conservative treatment though passage of the colonoscope was possible in stenosis. We performed laparoscopic-assisted ileocecal resection because we considered that the cause of vomiting was the stenosis, which might have been malignant. The vomiting disappeared after this operation, the postoperative course was uneventful, and she was discharged from the hospital. The diagnosis of the resected specimen was ischemic enteritis chronic phase image. This case had a relatively good prognosis after performing laparoscopic-assisted ileocecal resection for the small intestine stenosis caused by an intestinal tract circulatory disorder after cardiopulmonary arrest.View full abstractDownload PDF (1752K) -
Takayuki Toyonaga, Hiromitsu Matsuda, Ryuichi Mibu, Yohei Tominaga, Ma ...2018 Volume 71 Issue 5 Pages 228-234
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSPerianal endometriosis is a rare occurrence and the etiology is autologous transplantation of vital endometrial cells to an open episiotomy scar during vaginal delivery. Five premenopausal 30-43 year-old women presented with perianal pain 2-16 years after obstetric delivery with episiotomy. Physical examination revealed a vague fullness adjacent to the episiotomy incision in all patients, which were classified into the skin elevated type (n = 3) and the subcutaneous induration type (n = 2). Endoanal ultrasonography revealed hypoechoic cystic lesions without communication to the anal canal in both types, and anal sphincter involvement only in the subcutaneous induration type. Surgical excision of the mass was performed in four, but two of them needed hormone therapy due to local recurrence. These observations suggested that endosonography may be a reliable technique for visualizing this disease and for diagnosing anal sphincter involvement.
Physical findings and the degree of anal sphincter involvement are different between the skin elevated type and the subcutaneous induration type. The treatment strategy for this disease, including surgical resection and hormone therapy, should be determined based on age, desire to have children, symptoms and the degree of anal sphincter involvement.View full abstractDownload PDF (2385K)
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2018 Volume 71 Issue 5 Pages Mics05_1
Published: 2018
Released on J-STAGE: April 25, 2018
JOURNAL FREE ACCESSDownload PDF (358K)
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