ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 56, Issue 1
Displaying 1-12 of 12 articles from this issue
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ARTICLES
Clinics
  • Some operative techniques of the colposuspension for vaginal support defect
    Takenori NISHI
    2004 Volume 56 Issue 1 Pages 1-4
    Published: 2004
    Released on J-STAGE: March 12, 2004
    DOIhttps://doi.org/10.11437/sanpunosinpo.56.1
    JOURNAL RESTRICTED ACCESS
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    Synopsis A recently developed operative method, vaginal apex suspension with uterosacral ligaments, has now been accepted as an effective method for vaginal support defect. Although the theory is simple and recognizable, the drawback of this method are the complexities of the procedures and operative complications such as the tangling of threads before being tied, ureteral injury, retroperitoneal bleeding and so on. In this report I will present some operative techniques and points to lessen these drawback, which make the operation easier and safer. [Adv Obstet Gynecol, 56(1) : 1-4, 2004 (H16.2)]
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Case report
  • Postpartum tuberculous peritonitis mimicking malignant tumor with ascites and elevated serum CA125
    Hiroyo ISHINO, Masami YAMAGUCHI, Akiko IKUTA, Makoto EGAWA, Hirokazu Y ...
    2004 Volume 56 Issue 1 Pages 5-9
    Published: 2004
    Released on J-STAGE: March 12, 2004
    DOIhttps://doi.org/10.11437/sanpunosinpo.56.5
    JOURNAL RESTRICTED ACCESS
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    Tuberculous peritonitis is rare and its incidence has been reported to be less than 1% of tuberculosis cases in Japan. We report a case of postpartum tuberculous peritonitis mimicking a malignant tumor.
    The patient presented with ascites, abdominopelvic masses, and elevated serum CA125 (420 U/ml) on the 28th postpartum day after a normal delivery course. Chest X-ray findings did not indicate pulmonary tuberculosis, and neither the smear method nor culture in ascitic fluid obtained by puncture indicated a infection of Mycobacterium tuberculosis. Gallium scintigram findings, however, indicated a abnormal accumulation of garium around the navel.
    When an exploratory laparotomy was performed under the probable diagnosis of malignant tumor, excessive ascites was detected and numerous small masses were found in the peritoneum and the omentum. Pathological examination of the masses revealed an epithelioid granuloma with caseation necrosis, which suggested Mycobacterium infection.
    Polymerase chain reaction (PCR) for Mycobacterium tuberculosis was performed postoperatively using ascitic fluid and sputa. The PCR results were negative in the ascitic fluid, but positive in sputa. Additionally, cultures from smear and sputa samples demonstrated Mycobacterium tuberculosis and thereby confirming the diagnosis of tuberculous peritonitis. Following treatment using the 3-drug anti-tuberculosis regimen, the patient recovered with disappearance of ascites and abdominopelvic masses, and the CA125 serum level returned to the normal range. [Adv Obstet Gynecol, 56(1) : 5-9, 2004(H16.2)]
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OPINIONS
Clinical view
Current topic
TRANSACTIONS of SECTIONAL MEETINGS
Endocrinology & Reproduction(in the 108th Meeting of the OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN)
"Diagnosis and treatment of climacteric syndrom" for the female well-being
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