Subserosal Inflammatory Pseudotumor Causing Intussusception

We present an adult case of intussusception caused by subserosal inflammatory pseudotumor of the terminal ileum. Enteric intussusception was diagnosed by characteristic Xray finding, so called "beak-like" filling defect in the terminal ileum. An exploratory laparotomy revealed focal subserosal thickening in the terminal ileum, and partial ileocolectomy was performed. Microscopically, we identified a pseudotumor that extended through the muscularis propria into serosa. The pseudotumor was composed of fibrous stroma and chronic inflammatory cells with calcification

Pasteurella multocida感染症の6症例

Pasteurella multocida感染症は,ペット等からの感染が主な感染経路と考えられている.今回我々は6例のPasteurella multocida感染症を経験した.全例で動物との接触の既往がなかった.We report six cases of Pasteurella multocida infection. Four patients had acute tonsillitis, one had acute sinusitis, and one had sialoadenitis, so acute tonsillitis was the most common presentation. All six patients had no contact with animals

通気による縦隔気腫の1例

通気後に頸部皮下気腫および縦隔気腫を来した46歳男性症例について報告した.通気中に疼痛を訴えた場合は粘膜下気腫等の合併症を考慮し,通気を中止すべきである.We report a 46-year-old man who developed mediastinal emphysema after catheterization of the eustachian tube. It is necessary to perform tubal ventilation therapy with care in patients aged 50 years or older due to the risk of complications. Furthermore, it is necessary to consider the possibility of complications when tubal catheterization causes pain

通気による縦隔気腫の1例

通気後に頸部皮下気腫および縦隔気腫を来した46歳男性症例について報告した.通気中に疼痛を訴えた場合は粘膜下気腫等の合併症を考慮し,通気を中止すべきである.We report a 46-year-old man who developed mediastinal emphysema after catheterization of the eustachian tube. It is necessary to perform tubal ventilation therapy with care in patients aged 50 years or older due to the risk of complications. Furthermore, it is necessary to consider the possibility of complications when tubal catheterization causes pain

未治療の糖尿病に合併した鼻中隔膿瘍の2症例

我々は2例の鼻中隔膿瘍症例を経験した.2例とも未治療の糖尿病を合併していた.糖尿病を合併した鼻中隔膿瘍は重篤な合併症を引き起こす可能性があり,注意を要する.We encountered two cases of nasal septal abscess in patients with uncontrolled diabetes mellitus. When a diabetic patient presents with bilateral nasal obstruction, it is important to remember the possibility of nasal septal abscess

眼窩底骨折による眼球陥凹の手術適応について

眼窩底骨折16例について治療成績を比較検討した.8例には保存的治療を,他の8例には手術療法を行い,保存的治療を行ったうち1例に複視,2例に眼球陥凹の後遺症が残ったが,手術療法を行ったうちの1例で頬部のしびれ感および眼球陥凹が後遺症として残った.受傷後に複視が改善しても将来的に複視等の後遺症が出現する可能性がある.眼球陥凹をきたす可能性がある程度の眼窩底骨折は積極的に手術を施行すべきである.The need for surgery is indicated for an orbital floor fracture, and is often decided by the presence of eye movement disorder or diplopia. Enophthalmos will occur from several months to several years after injury, even when there is no diplopia, and in some cases where eye symptoms such as diplopia appear even later than this. We examined the occurrence of enophthalmos after surgical and conservative treatment of orbital floor fractures. The sequelae after operation were fewer than after conservative therapy. Surgery is clearly indicated when the contents of orbit have prolapsed. It is better not try to forecast the extent of shrinkage of the orbital contents over time, and to operate early after the injury

未治療の糖尿病に合併した鼻中隔膿瘍の2症例

我々は2例の鼻中隔膿瘍症例を経験した.2例とも未治療の糖尿病を合併していた.糖尿病を合併した鼻中隔膿瘍は重篤な合併症を引き起こす可能性があり,注意を要する.We encountered two cases of nasal septal abscess in patients with uncontrolled diabetes mellitus. When a diabetic patient presents with bilateral nasal obstruction, it is important to remember the possibility of nasal septal abscess