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View article: Case of Myasthenia Gravis Developing During Treatment for Immune Checkpoint Inhibitor‒related Myositis and Myocarditis Successfully Managed with Plasma Exchange
Case of Myasthenia Gravis Developing During Treatment for Immune Checkpoint Inhibitor‒related Myositis and Myocarditis Successfully Managed with Plasma Exchange Open
View article: A Case of Resection of Giant Retroperitoneal Dermoid Cyst Associated with Urinary System Defect
A Case of Resection of Giant Retroperitoneal Dermoid Cyst Associated with Urinary System Defect Open
View article: A Case of Giant Inguinal Maydl’s Hernia Successfully Treated with a Secondary Transabdominal Preperitoneal Approach
A Case of Giant Inguinal Maydl’s Hernia Successfully Treated with a Secondary Transabdominal Preperitoneal Approach Open
症例は61歳の男性で，左鼠径部腫脹を主訴に受診した．同部は小児頭大に腫脹し，CTで巨大な鼠径ヘルニアおよびヘルニア囊内と腹腔内の小腸に造影不良を認めたため緊急手術を施行した．鼠径法，下腹部正中切開を行い鼠径部ヘルニア分類（新JHS分類）L3型ヘルニアおよび小腸に250 cmに渡り色調・蠕動不良を認めたが，改善傾向であったため温存し，狭窄・壊死などによる再手術も考慮しヘルニア門は解放のまま待機的手術の方針とした．術後は下血，炎症反応の高値がみられたが保存的に改善し，初回手術後…
View article: Intraductal Papillary Neoplasm of the Bile Duct Asynchronously Recurred at the Remnant Bile Duct 3 Years after Operation for Hilar Cholangiocarcinoma
Intraductal Papillary Neoplasm of the Bile Duct Asynchronously Recurred at the Remnant Bile Duct 3 Years after Operation for Hilar Cholangiocarcinoma Open
症例は81歳の男性で，77歳時に肝門部胆管癌に対して右葉切除+肝外胆管切除，胆道再建を施行した．病理結果は乳頭腺癌で，切除断端は陰性であった．術後3年のCTで，膵内胆管の内腔を占めるような乳頭状腫瘤を認め，生検結果は高分化腺癌であり，膵頭十二指腸切除術を施行した．病理結果は，乳頭腺癌，pTis，med，ly0，v0，ne0，pStage 0であり，2010年WHO分類ではhigh grade without invasionで，胆膵型の胆管内乳頭状腫瘍（intraducta…
View article: Diagnostic feature of imaging for hernia through the foramen of Winslow
Diagnostic feature of imaging for hernia through the foramen of Winslow Open
A 51-year-old woman presented with acute onset of epigastric pain. The physical examination revealed local tenderness in the upper abdomen without voluntary guarding. Laboratory tests were within normal limits except for neutrophilia of 16…