Rare Case of a Giant Hamartomous Polyp of Brunner's Gland

During an investigation of the upper digestive tract of a 61-year-old female patient mainly complaining of hematemesis and melena, a peduculated polyp was discovered in the duodenum, and was surgically removed. Histologically, the polyp was recognized as a hamartomous polyp of Brunner's gland. Concerning the cases reported as so-called "Brunner's gland adenoma" it seems that there is a considerable difference in the histo­logical findings between Japanese cases and Western experiences, and this point is discussed in this paper, referring mainly to our case and other cases reported in Japan

腎移植における Ureteroneocystostomy の問題点 : Intravesical UreteroneocystostomyとExtravesical Ureteroneocystostomy の比較

The authors have made extensive studies of ureteroneocystostomies, that are intravesical and extravesical methods, and postoperative urological complications on 58 cases of living related renal transplants and 12 cases of cadaveric renal transplants at the Second Department of Surgery, Hiroshima University School of Medicine. Among the 21 cases in whom intravesical ureteroneocystostomy was employed, there was one case of urinary fistula. Among the 49 cases in whom extravesical ureteroneocystostomy was employed, two case of postoperative bleeding, a case of stenosis of the ureter and a case of urinary fistula of the anastomosis were observed. There was one case of graft loss in each method, but no case died. The incidence of complications is low on both methods. But extravesical ureteroneocystostomy does not require a large incision of the vesical wall and is advantageous in having a possibility to conduct the submucosal tunnel visually and a easy doing of anastomosis between the ureter and the vesical mucosa. Then, the procedure of our modified extravesical ureteroneocytostomy was reported

Living Related Partial Liver Transplantation for Primary Biliary Cirrhosis : A case report

An adult living related partial liver transplantation was performed on a 49 year old female with terminal hepatic failure due to primary biliary cirrhosis (PBC). The donor was her 53 year old sister. A sufficient volume of graft tissue was obtained, which comprised 1.5 % of the body weight of the recipient. The recipient had an excellent recovery without any major complications, and was discharged 35 days after the operation. At 15 months after the operation, the patient has shown no signs of rejection while using FK506 and prednisolone as immunosuppressants. The progression of symptomatic PBC can be predicted, and the timing of the transplantation can be easily determined. In addition, the results of liver transplantation for PBC are good. Therefore, adult living related partial liver transplantation is an excellent treatment for primary biliary cirrhosis