Trichosporon beigeliiによるラットの上行性腎盂腎炎

取得学位 : 博士（医学）, 学位授与番号 : 医博乙第1359号, 学位授与年月日：平成7年11月1日,学位授与年：199

Attempts to increase the rate of organ donation confirmation at emergency medical department

富山大学・富医薬博甲第328号・高橋 絹代・2020/03/24関連論文Importance of Continuing Education for Medical Staff to Improve the Confirmation Rate of Intent for Organ Donationdoi：10.1016/j.transproceed.2019.08.043富山大

球部尿道損傷を受傷したBicycle motocross riderに認められた両側精巣石灰化の1例

21歳の日本人男性がBMX競技中に会陰部を強打し, 会陰部疼痛, 肉眼的血尿, 陰嚢皮下出血を訴え受診した.逆行性尿道造影にて球部尿道に造影剤の溢流があり, 断裂が明らかとなった.陰嚢超音波検査では両側精巣内に複数の小石灰化が認められた.オフロード用自転車のサドルによる持続的な衝撃と振動のために生じた精巣の石灰化の1例を報告する(著者抄録)A 21-year-old Japanese man who was a professional bicycle motocross rider injured his perineum during a competition. Chief complaints were gross hematuria, perineal pain, and subcutaneous ecchymosis of the scrotum. Urethrocystography revealed a torn bulbar urethra and extravasation in the same region. Scrotal ultrasonography revealed small calcifications in the bilateral testes. Here, we report a case of bilateral testicular calcifications caused by the continuous shock and vibration of the saddle in an off-road bicycle rider

Holmium Laser Enucleation of the Prostate With Percutaneous Nephrostomy Into the Transplanted Kidney in Patient With Severe Benign Prostatic Hyperplasia With Vesicoureteral Reflux – A Case Report

A 66-year-old male, who had received renal transplantation 10 years before, was admitted to our hospital with urinary retention. The prostate volume was 169.2 ml. Furthermore, grade 5 vesicoureteral reflux (VUR) was shown in the cystography. Holmium laser enucleation of prostate (HoLEP) was performed, and percutaneous nephrostomy to the transplanted kidney was performed simultaneously to prevent from severe perioperative infection. After that, renal graft function improved and no urinary retention reoccurred, although surgical repair against VUR was necessary 10 months after HoLEP. We conclude that surgical treatment for BPH after kidney transplantation should be strongly considered with care for infections

Prostatic Stromal Tumor of Uncertain Malignant Potential Which Was Difficult to Diagnose

Here, we report a case of stromal tumor of uncertain malignant potential (STUMP) that was difficult to diagnose. A 53-year-old male was found to have a hard nodule on digital rectal examination; magnetic resonance imaging revealed a large nodule on the left side of the prostate, indicating prostate cancer. However, pathological diagnosis of the biopsy specimen was benign prostatic hyperplasia. Although a papillary tumor in the prostatic urethra was also seen on urethrocystoscopy, the tumor specimen obtained from transurethral resection was not malignant. The tumor in the prostatic urethra recurred only 3 months after transurethral resection, and pathological findings revealed benign hyperplasia not only in the stromal tissue but also in the epithelium; therefore, the prostate tumor was suspected to be STUMP. It took many prostate pathologists a long time to reach the final diagnosis of STUMP. STUMP is a rare benign tumor, difficult to diagnose, and sometimes transforms into stromal sarcoma. Thus, we should consider radical resection in such cases

Utility of follow-up of 131I-MIBG scintigraphy to screen pheochromocytoma

金沢大学医薬保健研究域医学

Massive Ascites in a Renal Transplant Patient after Laparoscopic Fenestration of a Lymphocele

Retroperitoneal lymphocele is a common complication of renal transplantation. Here, we report the case of a 67-year-old woman with massive ascites after fenestration surgery for a lymphocele that developed following renal transplantation. She had been on continuous ambulatory peritoneal dialysis for 9 years. Living donor renal transplantation was performed and an intrapelvic lymphocele subsequently developed. The lymphocele did not resolve after aspiration therapy; therefore, laparoscopic fenestration was performed. Although the lymphocele disappeared, massive ascites appeared in its stead. Half a year later, the ascites was surgically punctured, which then gradually resolved and disappeared 6 weeks later. Aspiration therapy should be considered in patients on long-term peritoneal dialysis, although laparoscopic fenestration is safe and effective