JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
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Volume 54, Issue 4
Displaying 1-23 of 23 articles from this issue
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FEATURE ARTICLE
ORIGINAL PAPERS
  • PNEUMOEDIASTINUM AS A COMPLICATION OF BRONCHIAL FOREIGN BODY
    —A PEDIATRIC CASE REPORT—
    Nao Isaka, Manabu Komori, Yoshiyuki Hirazawa, Hiroshi Moriyama
    2011 Volume 54 Issue 4 Pages 203-208
    Published: 2011
    Released on J-STAGE: August 15, 2012
    DOIhttps://doi.org/10.11453/orltokyo.54.203
    JOURNAL FREE ACCESS
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    We report a case of bronchial foreign body complicated by pneumomediastinum in a child. The patient was being treated for pneumonia diagnosed by chest XP and CT at another hospital. We were consulted by the pediatrician as the child developed signs of pneumomediastinum four days after admission. We diagnosed a left-bronchial foreign body by chest XP and CT. We removed the foreign body using a Fogarty catheter, by flexible fiberoptic bronchoscopy under general anesthesia. The child was discharged one week after the operation with no signs of any trouble.
    Bronchial foreign bodies can be easily detected by coronal CT imaging. Pneumomediastinum is a rare, but potentially fatal complication of bronchial foreign body. Therefore, it is necessary to make a prompt diagnosis. We suggest coronal CT imaging for the diagnosis of bronchial foreign body. If foreign body is suspected, a combination of imaging must be sought for early detection.
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  • A CASE REPORT OF FOLLICULAR CARCINOMA, CLEAR CELL VARIANT, PROGRESSING RAPIDLY TO DEATH
    Masaomi Motegi, Kouta Wada, Chie Motoyama, Toru Inoue, Masanori Ishii
    2011 Volume 54 Issue 4 Pages 209-215
    Published: 2011
    Released on J-STAGE: August 15, 2012
    DOIhttps://doi.org/10.11453/orltokyo.54.209
    JOURNAL FREE ACCESS
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    Follicular Carcinoma, Clear Cell Variant is very rare among thyroid carcinomas, and is classified as a variant type of follicular carcinoma. We report a case of follicular carcinoma, clear cell variant, in which the condition progressed rapidly to death. In addition, we could perform autopsy. A 71-year-old female presented with a swelling in the anterior neck region, and was referred to our hospital. We performed fine-needle aspiration cytology of the thyroid gland and biopsy of the neck lymph nodes. The findings led to suspicion of malignancy of advanced clinical stage, however, we could not make a definitive diagnosis. The respiratory failure worsened progressively, and the patient eventually died on Day 18 of admission. Autopsy revealed that she had follicular carcinoma, clear cell variant, multiple lymph node metastasis, lung metastasis, and cancerous pericarditis. We were sure that the cause of death was cardiac tamponade. Furthermore, in both the primary and metastatic lesions, there were numerous regions showing significantly poor differentiation, suggestive of anaplastic transformation.
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