ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 50, Issue 4
Displaying 1-5 of 5 articles from this issue
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  • Two cases of giant uterine leiomyoma with cystic degeneration
    Kohtaroh KITAYA, Hidefumi SUZUKI, Katsumi TSUKAMOTO, Jinsuke YASUDA, H ...
    1998 Volume 50 Issue 4 Pages 413-416
    Published: July 01, 1998
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.50.413
    JOURNAL FREE ACCESS
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    We report two cases of uterine leiomyoma that we had difficulty in making diagnosis. Case 1: A 37 year-old, 0-gravidas woman, visited with the complaint of general fatigue and abdominal bulging. Preoperative diagnosis was ovarian tumor and laparotomy was performed. Cystic tumor growing from anterior fundus of the uterus was confimed. She underwent total hysterectomy. Histopathologically, internal wall of cystic part lacked epithelial tissue, and outer layer was covered with smooth muscle cells. Hence, a diagnosis of leiomyoma with cystic degenaration was made. Case 2: A 38 year-old, 0-gravidas woman, consulted with the complaint of fever, abdominal bulging. Preoperative diagnosis was ovarian tumor and laparotomy was performed. Huge multicystic tumor developing from fundus of the uterus was confirmed, which we judged uterine cyst and performed cystectomy. Uterus was preserved. Histopathological diagnosis was uterine leiomyoma with cystic degeneration. We should include cystic degeneration of the uterine myoma in the diagnosis of cystic tumor in the pelvis. [Adv Obstet Gynecol 50 (4); 413---416, 1998 (H10.7)]
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  • Probable toxic shock syndrome caused by MRSA in a patient after hysterectomy for uterine leiomyoma: a case report
    Kumiyo MINAKUCHI, Naoki KAWAMURA, Kouzo HIRAI, Masaaki DEGUCHI, Osamu ...
    1998 Volume 50 Issue 4 Pages 417-422
    Published: July 01, 1998
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.50.417
    JOURNAL FREE ACCESS
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    Toxic shock syndrome (TSS) is a disorder which shows multiple organ failure. We experienced a case of probable toxic shock syndrome caused by Methicillin resistant Staphylococcus aureus (MRSA) after supracervical hysterectomy for uterine myoma. A-49-year-old woman, diagnosed as uterine myoma and observed conservatively in our out patient clinic, had been admitted in another hospital because of pyelonephritis before she came to our hospital to have a surgical operation. On the next day of the operation, she started to suffer from high fever, oliguria, diarrhea, severe prolonged shock and exfoliation. As MRSA was isolated from skin and feces, this case was diagnosed as probable toxic shock syndrome with MRSA enterocolitis. With intravenous and oral administration of vancomycin hydrochloride (VCM) under intensive care of this systemic condition, this patient recovered dramaticaIIy. TSS should be treated immidiately after a quick diagnosis under intensive care using appropriate antibiotics. [Adv Obstet Gynecol 50 (4); 417-4242, 2, 1998 (H10.7)]
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  • [title in Japanese]
    1998 Volume 50 Issue 4 Pages 423-451
    Published: July 01, 1998
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.50.423
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1998 Volume 50 Issue 4 Pages 452-500
    Published: July 01, 1998
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.50.452
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1998 Volume 50 Issue 4 Pages 501-504
    Published: July 01, 1998
    Released on J-STAGE: September 27, 2010
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.50.501
    JOURNAL FREE ACCESS
    Download PDF (498K)
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