-
Article type: Cover
2009 Volume 45 Issue 2 Pages
Cover1-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Cover
2009 Volume 45 Issue 2 Pages
Cover2-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App1-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App2-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App3-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App4-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App5-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
App6-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Article type: Index
2009 Volume 45 Issue 2 Pages
Toc1-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
Masahiro Hatanaka, Yuki Ishimaru, Kazunori Tahara, Junko Fujino, Makot ...
Article type: Article
2009 Volume 45 Issue 2 Pages
193-198
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose/Methods: Pathological leading lesions are often present in patients with recurrent intussusceptions, in particular, in older children in whom intussusceptions are relatively uncommon. Because there have been no consensus or treatment guidelines for the management of those recurrent cases, we have reviewed our own cases to discuss the issue. Results: Between April 2000 and March 2008, 105 intussusceptions in 94 patients were treated. Six of the 94 patients (6.4%) had a pathological leading lesion. Four of the 6 patients were older than 4 years, 2 patients had recurrent episodes and one patient had chronic abdominal pain before diagnosis. Pathological leading lesions were Burkitt lymphoma in 2 patients, Meckel' s diverticulum in 2, and ectopic gastric mucosa of the ileum and cecal duplication in one patient. On the other hand, intussusception recurred in 6 patients (6.4%) whose ages ranged from 5 months to 5 years. The number of episodes of intussusception was from 2 to 4, and the duration between the first intussusception to the last recurrence ranged from 2 days to 9 months. Intussusceptions including recurrent episodes were all reduced by contrast enema in 4 patients. Laparotomy was necessary in 2 patients, 4 and 5 years of age, with a pathological leading lesion. Conclusions: Based on these experiences, we propose that pathological leading lesions should be sought when intussusception recurs in children older than 4 years. Laparoscopic examination, a minimally invasive diagnostic modality, should be considered when a possible pathological lesion can not be excluded.
View full abstract
-
Kazunori Ohama, Takashi Shimotake, Nobuki Ishikawa, Taichi Hirotani, M ...
Article type: Article
2009 Volume 45 Issue 2 Pages
199-205
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Purpose: Pectus excavatum is the most common chest wall malformation. In 2005 we introduced a Vacuum Bell for treatment of pectus excavatum. In this paper we report on our experience of the treatment to evaluate the efficacy of the Vacuum Bell treatment. Materials and Methods: Eleven patients, 9 males and 2 females, were treated with the Vacuum Bell treatment. The age ranged from 6 to 29 years. In 4 of them Nuss procedure had been performed; in one patient the metal bar was removed too early because of bar infection and in 3 patients the results were unsatisfactory. The other 7 patients had not been operated on. A Vacuum Bell is used for creating a vacuum at the anterior chest wall. The pressure is reduced up to 15% below the atmospheric pressure with a hand pump. The device is used for at least 30 minutes, twice a day and the duration is lengthened gradually. Results: The follow-up time ranged from 4 months to 2 years and 8 months. The hollow of the sternum was elevated significantly from 18mm on average (between 2 and 30mm), to 10mm (between 0 and 20mm) after 3 months and 9mm (between 0 and 20mm) at the end point of follow-up. There were no serious complications, except for mild dermatitis. Conclusion: The Vacuum Bell is an alternative method for treatment of pectus excavatum.
View full abstract
-
Jun Sato, Kazuya Ise, Michitoshi Yamashita, Hirofumi Shimizu, Mitsukaz ...
Article type: Article
2009 Volume 45 Issue 2 Pages
206-210
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Congenital lower bifid sternum is extremely rare. We report here a case of a male infant. Fetal ultrasonography at 31 weeks of gestation detected ectopia cordis. He was delivered by cesarean section at 37 weeks and 4 days gestation. After birth, the defect of lower sternum and heart beat to epigastrium was pointed out, but skin defect did not find. A chest X-ray revealed an abnormal shadow of the heart. The computed tomography scans revealed lower bifid sternum and ectopia cordis. The ultrasonic cardiography did not show malformation in the heart. He remained without causing arrhythmia. At 55 days of age, he was operated on for sternum elongation under the diagnosis of lower bifid sternum with incomplete partial ectopia cordis. The ultrasonic cardiography during and after the operation did not show abnormality of circulation change. He was discharged on the 12th day after the operation because of good progress. Concerning the treatment of the bifid sternum, we have to consider complications such as ectopia cordis or malformation of the heart.
View full abstract
-
Kaori Sato, Yasuyuki Higashimoto, Hide Kaneda, Takeshi Furuya, Jun Iwa ...
Article type: Article
2009 Volume 45 Issue 2 Pages
211-214
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
We report a rare association of covered cloacal exstrophy with penile agenesis and short bowel as the first case in Japan. A male infant was born at 32 weeks gestation weighing 1,444g. He was noted to have an imperforate anus and anomaly of the external genitalia. He had a lowset umbilicus and passed meconium via the urachus. The pubic bones were separated, but the lower abdominal wall was normal. He had aphallia and bifid scrotum. Laparotomy revealed a ileovesical fissure between the posterior extrophied bladders. Duplicated appendices and colons ended blindly approximately 4cm distal to the fistula. The small intestine was only 14cm in length from the Treitz ligament. The terminal ileum was divided from the bladder for the reconstruction of an end colostomy. The bladder was repaired with a vesicostomy made at the umbilical site.
View full abstract
-
Soichi Nakada, Yoshiteru Takada, Takashi Akiyama, Reisuke Imaji
Article type: Article
2009 Volume 45 Issue 2 Pages
215-219
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Segmental dilatation of the intestine is a relatively rare pathological condition. We report two cases of segmental intestinal dilatation of the ileum in newborns. Case 1 was a 21-day-old boy whose chief complaint was abdominal distention. Intestinal malrotation was suspected after inhalation of grainy vomit occurred at 21 days old, and laparotomy was performed. Case 2 was a boy who failed to pass meconium within 24 hours of birth. An enema was administered and stools were passed but abdominal distention increased progressively. Hirschsprung's disease or intestinal malrotation were suspected and exploratory laparotomy was performed on the third day of his life. Segmental dilatation of the ileum, which was observed in both cases, confirmed the diagnosis of segmental dilatation of the intestine. Both cases were treated by resection of the dilated segment and an end-to-end anastomosis. Pathological findings did not reveal any morphological or distributional abnormalities of the ganglion cells. The postoperative course was uneventful in both cases. This report provides case reports of segmental dilatation of the intestine with a brief review of the literature.
View full abstract
-
Toru Yamazaki, Yasuhiro Okada, Masatoshi Miyamoto
Article type: Article
2009 Volume 45 Issue 2 Pages
220-225
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
Femoral hernia is very rare in children and the incidence is between 0.01 and 0.9% in children with inguinal hernia. We report two cases of femoral hernia in childhood. Case 1: A four-year-old boy was referred to us, complaining of left inguinal swelling. He was diagnosed with femoral hernia on the left side because the swelling was located outside the inguinal canal. At operation, the hernia sac was not found in the inguinal canal, but it was located laterally and inferiorly to the inguinal canal through the left femoral canal. There was no content in the hernia sac. The Cooper's ligament was sutured to the pectineal fascia through a femoral approach after the hernia sac was inverted into the peritoneal cavity with a good result. Case 2: A two-year-old girl was emergently admitted to us with a diagnosis of left irreducible inguinal hernia. She was diagnosed as having an irreducible femoral hernia on the left side because the swelling was located outside the inguinal canal as in case 1. She was operated on immediately; the hernia sac was found latero-inferiorly to the inguinal canal through the left femoral canal as in case 1. The hernia content was the omentum. The omentum was reduced into the peritoneal cavity and the hernia sac was simply ligated with a good outcome. We should consider a femoral hernia or a direct hernia, when intraoperative findings do not correspond to the preoperative diagnosis of indirect inguinal hernia. As for the surgical treatment, the optimal procedure for a femoral hernia still remains controversial.
View full abstract
-
Akira Nii, Kazuhiro Kameoka, Mami Kanamoto, Mitsuo Shimada
Article type: Article
2009 Volume 45 Issue 2 Pages
226-230
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
A 14-year-old boy was admitted for his fever and right lower abdominal pain. He was found in computed tomography to have a mass at an ileocaecal lesion, and laboratory tests revealed leukocytosis and positive CRP. At first we diagnosed appendicitis with an appendical mass, and carried out an emergency operation. On laparotomy, the mass was found to be a tumor of the caecum, and we suspected malignant lymphoma, but intraoperative frozen section biopsy confirmed its benign nature. Ileocaecal resection was done. A colony of actinomyces was found in the specimen after a pathological examination. To our knowledge, ileocaecal actinomycosis in childhood has been reported in only 12 cases including this report in Japan. We experienced such a case of abdominal actinomycosis in childhood. The correct preoperative definitive diagnosis was not made in any case. In conclusion, actinomycosis should be considered in the management of an abdominal mass of unknown origin.
View full abstract
-
Katsumi Yoshizawa, Junichi Yoshizawa, Mizuho Machida, Shigeru Takamiza ...
Article type: Article
2009 Volume 45 Issue 2 Pages
231-234
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
A 12-day-old boy was referred to our hospital because of abdominal distention, bilious vomiting and melena with a suspected diagnosis of mid-gut volvulus and malrotation. He had been fed with breast milk since one day after birth. Although upper gastrointestinal contrast study and contrast enema did not reveal mid-gut volvulus or malrotation, exploratory laparotomy was performed because strangulation of the ileus was not excluded. A laparotomy revealed perforation of the appendix and malrotation without volvulus. We diagnosed panperitonitis due to perforated appendicitis and performed an appendectomy. It is difficult to make the diagnosis prior to surgery because neonatal appendicitis is extremely rare and the clinical signs are not specific. When treating neonates with ileus and melena, the diagnosis of neonatal appendicitis should be included in the differential diagnosis.
View full abstract
-
Article type: Appendix
2009 Volume 45 Issue 2 Pages
235-245
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
246-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
246-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
246-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
246-247
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
247-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
247-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
247-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
247-248
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
248-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
248-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
248-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
248-249
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
249-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
249-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
249-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
249-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
249-250
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
250-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2009 Volume 45 Issue 2 Pages
250-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
250-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
250-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
251-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
251-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
2009 Volume 45 Issue 2 Pages
251-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
251-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
251-252
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2009 Volume 45 Issue 2 Pages
252-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
252-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese]
Article type: Article
2009 Volume 45 Issue 2 Pages
252-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
252-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
252-253
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
-
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
2009 Volume 45 Issue 2 Pages
253-
Published: April 20, 2009
Released on J-STAGE: January 01, 2017
JOURNAL
FREE ACCESS
