The Kurume Medical Journal
Online ISSN : 1881-2090
Print ISSN : 0023-5679
ISSN-L : 0023-5679
Volume 38, Issue 1
Displaying 1-8 of 8 articles from this issue
  • A Case Report
    YASUHISA AKAGI, ATSUO JIMI, KEN-ICHIRO KOSAI, MASAMICHI KOJIRO, OSAMU ...
    1991 Volume 38 Issue 1 Pages 1-4
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    A 46 year-old woman with a perinephric type of xanthogranulomatous pyelonephritis is described. She had a fever and pain with a palpable mass in her right flank. The blood analysis revealed anemia, leucocytosis, γ-globulinemia, but no hyperlipidemia. The urine analysis showed nothing abnormal, but enterobacter was present in the urine. An intravenous pyelogram demonstrated a right non-functioning kidney. The diagnosis of a perinephric abscess was made from the x-ray and ultrasonogram, and a right nephrectomy was performed. The resected kidney had a tumor-like lump covered with Gerota's fascia at the postern-lateral side of the kidney. The cut surface of the kidney revealed an area of hemorrhage, blood clotting, abscess and a brownish yellow area in the perinephric fat tissue. The calyx and pelvis were normal. Histologically, the brownish yellow area was a granuloma with foam cell infiltration. The foam cells contained lipids. The renal parenchyma showed a non-specific chronic pyelonephritis.
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  • KEN HASHIMOTO, TERUO KAKEGAWA, JINRYO TAKEDA, YORIHISA HIRAKI, KIKUO K ...
    1991 Volume 38 Issue 1 Pages 5-8
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    Experimental studies have revealed that duodenogastric reflux subsequent to gastrectomy was one of the most significant factors for the development of carcinoma in the remnant stomach. For this reason, the binding of carcinogenic agents to the nucleic acids in the gastric mucosa exposed to the duodenal contents were studied using an organ culture method. The intracellular DNA levels bound with carcinogenic agents were significantly increased in the mucosa of the remnant stomach, as compared to the parietal mucosa in the whole stomach. The remnant stomach may therefore provide an environment that enhances the development of cancer.
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  • Report of Two Cases
    YASUMI ARAKI, HIROHARU ISOMOTO, KAZUO SHIROUZTT, TATSUHISA MORODOMI, M ...
    1991 Volume 38 Issue 1 Pages 9-14
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    Twenty-five patients with adenomatosis coli were subjected to operations, and two in which desmoid tumors appeared after the operation on familial adenomatosis coli are described here. These patients were 26 and 37 year-old males. After the total colorectomy, each tumor was associated with soreness and was palpated in the lower abdominal wall, and operations were performed. The histological findings from the resected specimens, 12cm and 34cm in size, indicated desmoid tumors. Poliposis of the large intestine with desmoid tumors, as a complication, has been reported in 23 previous cases in Japan.
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  • TAKEHARU KOGA, MIKIO KUBOSHIRO, TOSHIHIKO HARADA, YOICHIRO ICHIKAWA, K ...
    1991 Volume 38 Issue 1 Pages 15-17
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    An 82 year-old woman presented with bilateral uveitis suggestive of ocular sarcoidosis, which led to a clouded vision. She was diagnosed as having sarcoidosis because of an elevated level of serum angiotensin converting enzyme (ACE), findings from a Ga67 scintiscan and the bilateral uveitis, although her chest X-ray film was normal. This patient is one of the most oldest patients on record to have sarcoidosis.
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  • A Case Report
    TETSUKO OKUNO, AKIO INOUE, RYO SAKAI
    1991 Volume 38 Issue 1 Pages 19-23
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    We report a case of a girl with complete sacral agenesis associated with arthrogrypotic-like deformity. This case demonstrates that a posterior knee release and braces following operation are effective treatment for knee-flexion contractures. Accordingly it is suggested that a supracondylar osteotomy is not required for mild or moderate recurrence of knee-flexion contractures.
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  • KEIJIROU DAINOSON
    1991 Volume 38 Issue 1 Pages 25-32
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    An unusual sleep stage, composed of low amplitude theta activity in the EEG, rapid eye movements (REMs) and tonic EMG in skeletal muscles has been found in chronic alcoholics. Some researchers regard this as a variation of REM sleep, but others believe it to be fundamentally different from REM sleep. Since it is well known that penile tumescence (PT) occurs during REM sleep, I investigated the occurrence of PT during this unusual sleep stage in male alcoholics to determine whether it should be viewed as REM sleep. PT did not occur during this stage. NO differences were found in the amount of REM sleep between chronic alcoholics and normal controls. Moreover, the mean duration of total PT, and the mean durations of maximum and semi-episode PT were shorter in the alcoholics than in normal controls.
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  • JINRYO TAKEDA, KEN HASHIMOTO, TAKAHO ANAKA, KIKUO KOUFUJI, TERUO KAKEG ...
    1991 Volume 38 Issue 1 Pages 33-37
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    Two rare cases of a spontaneous portacaval shunt occurring in patients with gastric cancer and hepatic cirrhosis are retrospectively reviewed with special attention for the operative indications and techniques. One patient underwent proximal gastrectomy for a IIa cancer in the C region with splenectomy and closure of the splenorenal shunt, and died two years and 3 months later due to hepatic failure. The other patient underwent distal gastrectomy for IIa+IIc, IIc double cancers in the M and A regions with splenectomy through an upper transverse abdominal incision that ligated and divided the paraumbilico-caval shunt, and is alive and well 1 year and 2 months, postoperatively. The ICG-R15 was markedly decreased and the K-ICG and ICG-Rmax were improved following the operation in both cases. The preoperative chronic encephalopathy and hyperammonemia disappeared postoperatively in both cases.
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  • Report of Two Cases
    YASUYUKI HASUO, TOKI HIGASHIJIMA, TAMIO MITAMURA
    1991 Volume 38 Issue 1 Pages 39-43
    Published: July 01, 1991
    Released on J-STAGE: August 11, 2009
    JOURNAL FREE ACCESS
    A parovarian cyst oxiginates from the tissue of the broad ligament, predominantly from mesothelium covering the peritoneum but also from paramesonephric and mesonephric remnants. Clinically, torsion of a parovarian cyst is uncommon, and it is difficult to distinguish it from torsion of other adnexal masses, an ovarian accident, appendicitis, etc. Recently, we experienced two cases of torsion of parovarian cysts. In one case, it was associated with 32 weeks' intrauterine gestation. In this case, pelvic sonography during the first and second trimester showed no cystic lesions. In the other case, a lower abdominal pain continued about two weeks. A sonogram revealed a very small cyst like a follicle. These twisted parovarian cysts were removed at laparotomy. The clinical and pathological features of the torsion of parovarian cysts are briefly discussed and the literature is reviewed.
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