Kanzo
Online ISSN : 1881-3593
Print ISSN : 0451-4203
ISSN-L : 0451-4203
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Volume 47, Issue 9
Displaying 1-6 of 6 articles from this issue
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Editorial
Case Reports
  • Two cases of acute hepatitis B complicated with amebic liver abscess
    Kazunobu Kiyomizu, Toshihiko Nagase, Taku Yasumoto, Takafumi Kumano, C ...
    Article type: Case Report
    2006 Volume 47 Issue 9 Pages 425-432
    Published: 2006
    Released on J-STAGE: January 18, 2007
    DOIhttps://doi.org/10.2957/kanzo.47.425
    JOURNAL FREE ACCESS
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    It used to be thought that acute hepatitis B was transmitted through blood transfusion, but acute hepatitis B is recently thought to be one of sexually-transmitted diseases (STDs), because the infection is often passed on through sexual contacts. On the other hand, the number of amebic infections had decreased sharply with the improvement of the hygiene environment in the postwar period. As amebic infections among homosexual men have started to be reported in recent years, amebiasis is thought to be one of STDs owing to the diversification of sexual contacts. Now we would like to report on two cases of acute hepatitis B complicated with amebic liver abscess for purposes of clinical documentation.
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  • A case of hepatocellular carcinoma needed to be distinguished from focal nodular hyperplasia
    Katsutoshi Sugimoto, Toshiya Horibe, Kosei Kudo, Ryo Metoki, Yoshihiro ...
    Article type: Case Report
    2006 Volume 47 Issue 9 Pages 433-440
    Published: 2006
    Released on J-STAGE: January 18, 2007
    DOIhttps://doi.org/10.2957/kanzo.47.433
    JOURNAL FREE ACCESS
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    A 74-year-old female visited a nearby clinic and a hepatic mass was detected by abdominal ultrasonography (US) and abdominal MRI. She was referred and admitted to our hospital. Since a series of examinations after admission revealed a central scar and distinct wheel-like vasculature, hepatocellular carcinoma (HCC) or focal nodular hyperplasia (FNH) were suspected. Percutaneous needle biopsy for definite diagnosis showed little likelihood of FNH, and she underwent surgery with the diagnosis of HCC. Pathohistology revealed moderately differentiated HCC. Despite low frequency, HCC with hemodynamics similar to FNH occurs and must be included in a differential diagnosis.
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  • A case of the peculiar portosystemic shunt unsuccessfully managed with partial splenic artery embolization, percutaneous transhepatic obliteration and ligation of paraumbilical vein
    Daisuke Kakinuma, Hiroshi Yoshida, Yasuhiro Mamada, Nobuhiko Taniai, S ...
    Article type: Case Report
    2006 Volume 47 Issue 9 Pages 441-447
    Published: 2006
    Released on J-STAGE: January 18, 2007
    DOIhttps://doi.org/10.2957/kanzo.47.441
    JOURNAL FREE ACCESS
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    We experienced a case of the intractable portosystemic shunt after repeated endoscopic variceal ligation for esophageal varices. A 48 years-old woman was observed for cryptogenic liver cirrhosis by nearby hospital since 2001. There was a past history of esophageal varices, for which she was underwent endoscopic variceal ligation, and she was hospitalized with hepatic encephalopathy at the nearby hospital repeatedly. She was referred to our hospital for gastric varices (F2, RC (-)). Abdominal angiography showed the peculiar portosystemic shunts through left gastric vein and paraumbilical vein. We intended to treat repeated hepatic encephalopathy due to these portosystemic shunts. After partial splenic aretery embolization for portalhypertension, we performed percutaneous transhepatic obliteration for left gastric vein and surgical ligation of paraumbilical vein under general anesthesia. However, we recognized newly portosystemic shunt through posterior gastric vein after surgery, and there was little change in serum ammonia level. This case was instructive for making decision of the treatment of portosystemic shunt with hepatic encephalopathy.
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Short Communication
  • Efficacy of non-invasive elastometry in patients with nonalcoholic fatty liver disease
    Yasumasa Asamoto, Hideyuki Hyogo, Hironori Tokumo, Haruna Yokomichi, E ...
    Article type: Short Communication
    2006 Volume 47 Issue 9 Pages 448-449
    Published: 2006
    Released on J-STAGE: January 18, 2007
    DOIhttps://doi.org/10.2957/kanzo.47.448
    JOURNAL FREE ACCESS
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    This study was conducted to elucidate the efficacy of elastometry in patients with nonalcoholic fatty liver disease. A total of 45 patients (4 simple steatosis and 41 nonalcoholic steatohepatitis (NASH)) and 22 healthy controls were enrolled in this study. Liver stiffness was measured by elastography or FibroScan502 (Echosens Co., Paris, France). Whereas significant differences of elastometry were not seen between patients with simple steatosis and healthy controls, those were evident between patients with simple steatosis and NASH. Furthermore, the elastometry correlated well to the stage of fibrosis in patients with NASH. These results suggest that elastometry would be useful for discriminating NASH from simple steatosis and evaluating fibrotic staging of the liver without any invasiveness.
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Rapid Communication
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