Tadashi Kagoshima

Ileal adenomyoma accompanied by primary peritonitis: report of a case.

Abstract We report herein the case of a 52-year-old woman who presented with severe abdominal pain and a 2-week history of a yellow vaginal discharge. An emergency operation was performed for localized peritonitis attributed to acute perforated appendicitis. There were no findings to indicate the cause of peritonitis, but by chance, a submucosal tumor was found in the ileum 2 m from Bauhins valve. Appendectomy and wedge resection of the ileum with the submucosal tumor were carried out. The peritonitis was considered to have been idiopathic from bacterial and molecular biological examination of the ascites. Pathological, immunohistochemical, and flow cytometrical findings of the resected ileal submocosal tumor indicated a diagnosis of ileal adenomyoma with no malignancy, which suggested metaplasia of the pancreaticobiliary to gastric epithelium.

Clinical Evaluation of Taurine in Congestive Heart Failure—A Double-Blind Comparative Study Using CoQ10 as a Control Drug

Congestive heart failure is a clinical syndrome characterized by symptoms of dyspnea, fatigue, and edema that most commonly result from pathophysiological events following a severe insult to the left ventricle. In recent years, a new therapeutic approach based on the pathophysiology of congestive heart failure has been established. A single agent or combination therapy with cardiac glycosides and diuretics has proven to be effective in the treatment of congestive heart failure. However, in cases of refractory cardiac failure that resist these conventional drugs, vasodilators, sympathomimetics, and myocardial metabolism activators are used in combination therapy.