Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Volume 110 , Issue 8
Showing 1-14 articles out of 14 articles from the selected issue
Special contribution
Review article
Monthly report; Diagnosis and Treatment of Gallbladder Carcinoma
Original article
Case report
  • Osamu ARAI, Takayuki IIDA, Jinrou ABE, Fumitoshi WATANABE, Shinichi NA ...
    2013 Volume 110 Issue 8 Pages 1439-1446
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    We describe a rare case of ulcerative colitis (UC) with lymphoid follicular proctitis (LFP) extending discontinuously from the rectum to the ascending colon. The patient was a 42-year-old female presenting with a positive fecal occult blood test. Colonoscopy revealed erosions and disappearance of vascular patterns in the ascending colon and lower rectum, together with circumferential, uniform, granular lesions in the lower rectum. Histological examinations of the rectal biopsy specimens revealed lymphoid follicles, hyperplasia, and infiltration of chronic inflammatory cells. We suspected rectal and segmental UC with LFP. Initially, the patient was managed conservatively because of the lack of symptoms; however, on developing mucoid stools and haematochezia, mesalazine administration was started. Her symptoms and endoscopic findings resolved completely. LFP is closely associated with UC. Therefore, while diagnosing and managing LFP, it is necessary to ascertain or rule out potential complications.
    Download PDF (1429K)
  • Yoko KOMINAMI, Hirotoki OHE, Reiji HIGASHI, Ken HIRAO, Tsuneyoshi OGAW ...
    2013 Volume 110 Issue 8 Pages 1447-1453
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    An 84-year-old man was admitted to our hospital because of blood in the stool. He had previously undergone a subtotal colectomy and ileostomy with a mucous fistula of the sigmoid colon because of a large bowel hemorrhage of unknown origin. Five years later, a minor hemorrhage developed in the remnant rectum. The clinical history, colonoscopic findings, and the histology of the diverted colon specimens were suggestive of diversion colitis. Treatment was initiated with short-chain fatty acid enema, but slight blood loss through the stool continued;thus, the patient was administered 5-aminosalicylic acid (5-ASA) enema. Subsequently, his symptoms and endoscopic findings improved. 5-ASA enema appears to be both safe and effective in the treatment of diversion colitis following intestinal tract surgery.
    Download PDF (1004K)
  • Yukimasa YAMASHITA, Masashi FUKUSHIMA, Yasuhiko SUMITOMO, Yongi SON, M ...
    2013 Volume 110 Issue 8 Pages 1454-1460
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    A 55-year-old man presented at our hospital with a large polypoid esophageal tumor. Initial upper gastrointestinal endoscopy revealed that this tumor had sloughed off to be replaced with ulceration in the thoracic esophagus. However, after the tumor at the thoracic esophagus sloughed off, a semi-circular, superficial, flat squamous cell carcinoma was observed adjacent to the ulceration. In addition, a separate carcinosarcoma, 2cm in diameter, was found at the esophagogastric junction. Approximately one month later, endoscopic re-examination revealed a new polypoid tumor approximately 4cm in diameter that was growing rapidly in the center of the superficial thoracic esophageal carcinoma lesion. Standard subtotal esophagectomy was performed. Histopathological examination revealed that both lesions were esophageal carcinosarcomas. This is a rare case of double esophageal carcinosarcoma associated with rapid polypoid tumor growth from a superficial squamous cell carcinoma lesion.
    Download PDF (1220K)
  • Daisuke KOBE, Toshiya NAKATANI, Yukihisa FUJINAGA, Kenichiro SEKI, Soi ...
    2013 Volume 110 Issue 8 Pages 1461-1467
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    A 22-year-old man complaining of persisting high fever and right hypochondralgia was admitted to our hospital for infectious mononucleosis with splenic infarction detected by computed tomography. The splenic infarction deteriorated with a marked elevation of inflammatory parameters. This necessitated the commencement of methylprednisolone pulse therapy, resulting in prompt amelioration of inflammation and a reduction in cytokine levels. Including our case, only 9 cases of mononucleosis with splenic infarction have been reported to date; however, splenic infarction should be considered because it is a significant complication of infectious mononucleosis.
    Download PDF (567K)
  • Ryuta SHIGEFUKU, Michihiro SUZUKI, Minoru KOBAYASHI, Yosuke MICHIKAWA, ...
    2013 Volume 110 Issue 8 Pages 1468-1480
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    Reports of pyogenic liver abscess (PLA) caused by the Streptococcus anginosus group (SAG) have increased. Coinfection with SAG and anaerobic bacteria enhances the tendency for abscess formation. Furthermore, it has been reported that SAG infection results in pylethrombophlebitis as a complication. We experienced 3 cases of PLA caused by SAG: one case was complicated by the development of pylethrombophlebitis and the other 2 cases had coinfection with anaerobic bacteria. We report these cases together with bibliographic consideration of 23 cases previously reported in Japan.
    Download PDF (1163K)
  • Takeshi TOMODA, Toru UEKI, Shunsuke SAITO, Masashi TATSUKAWA, Toru NAW ...
    2013 Volume 110 Issue 8 Pages 1481-1486
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    We report a case of a 47-year-old female patient with ceftriaxone (CTRX)-associated pseudolithiasis. CTRX was administered at a dosage of 2g/day for 8 days because of colonic diverticulitis. A routine abdominal computed tomography (CT) scan was performed to investigate the diverticulitis. However, the CT scan demonstrated stones and sludge in the gallbladder, which had not been present before CTRX administration. Therefore, we diagnosed the patient with pseudolithiasis caused by CTRX and stopped CTRX administration. The stones and sludge disappeared 6 days after stopping CTRX administration. This underreported adverse effect of CTRX should be considered when treating both children and adult patients.
    Download PDF (511K)
  • Yukihiko OKUMURA, Rie SUGIMOTO, Terumasa HISANO, Masayuki FURUKAWA, Ta ...
    2013 Volume 110 Issue 8 Pages 1487-1494
    Published: 2013
    Released: August 05, 2013
    JOURNALS FREE ACCESS
    A 51-year-old man presenting with fever, weight loss and general fatigue was diagnosed with jaundice and liver tumors and admitted to our hospital for further investigation and treatment. We diagnosed multiple pyogenic liver abscesses, obstructive jaundice, and silent syphilis. The patient was successfully treated with endoscopic biliary stenting, endoscopic nasobiliary drainage, percutaneous transhepatic abscess drainage, and, most effectively, transcatheter regional hepatic arterial infusion with antibiotics. We speculated that the decline in neutrophil phagocytic function may concern to occur the pyogenic liver abscess.
    Download PDF (980K)
feedback
Top