Toshihiro Kaneyuki

Stomal varices: Treatment by percutaneous transhepatic coil embolization

Bleeding from stomal varices in a patient with portal hypertension, uncontrolled by surgical ligation and sclerotherapy, was well controlled by percutaneous transhepatic embolization with platinum and stainless-steel coils.

Leiomyoma of the left posterior tibial artery: A case report

A case of leiomyoma of the left posterior tibial artery is presented. This tumor produced aneurysmal dilatation of the artery and was treated successfully by surgery. This may be the first documented case of a benign smooth muscle tumor, although nearly 100 leiomyosarcomas arising from large arteries and veins have been described in the literature.

COLONIC CANCER WITH INTUSSUSCEPTION PROLAPSING THROUGH THE ANUS -REPORT OF 3 CASE

Colonic cancer as the leading point prolapsing through the anus is a rare disease, . We experienced three cases of this disease for the past 10 years. Case 1: A 72-year-old woman had an extraanal prolapse of the egg size tumor. On laparotomy, the intussusception was reduced colonic was performed. Case 2: An 86-year-old woman was found having an extraanal prolapse of the walnut size tumor. A high anterior resection was performed without reducing the intussusception. This case was of sigmoid colonic cancer. Case 3: A 91-year-old woman had an extraanal prolapse and incarceration of the elastic soft tumor (8.0×5.0cm). Resection of the sigmoid colonic was performed. This cancer developed on Rs region. Sigmoid colonic cancer rarely protrudes through the anus. Another 8 cases of this disease reported in Japan and these 3 cases were examined about the clinic opathological features.

A CASE OF OBTURATOR HERNIA AND A COLLECTIVE REVIEW OF THE CASES REPORTED IN JAPAN

最近 我 々は比較 的 まれ な疾 患 と され る閉鎖孔 ヘ ル ニアを経 験 した ので報 告 す る とと も に,本 邦報 告 例 を集計 し検 討 を加 えた. 本症 はやせ 形で 高齢 の婦 人 に多 く,分 娩回 数の 多い もの に多発 す る傾 向に あ った.イ レウス症状 に よ り発症 す る ものが殆 ん どであ り, Howship-Romberg徴 候 は80%に 認 め られ た.術 前 診断 率 は27%と 未 だ低値 で はあ るが,年 を追 うに従 い上 昇 して いた.ヘ ル ニア門の 処置 と して は,結 節縫 合 に よる閉鎖 法が最 も多 用 されて い たが,壁 側 腹膜 を結 節縫 合す る場 合 には再 発の危 険 が あるた め骨膜 と閉 鎖膜 を縫 合す るこ とが望 ま しい. 高齢 女性 で 突然 イ レウス症 状 を呈 した場 合 には本 症 を も念 頭に置 くベ きで あ る.