Publications by authors named "Masatoshi Yoshizawa"

Article Synopsis
  • This study investigated the use of amylase levels in drainage fluid (DFA) to detect anastomotic leakage (AL) early and non-invasively in patients undergoing low anterior resection (LAR) for rectal cancer.
  • The study analyzed drainage fluid samples from 120 patients post-surgery, finding that DFA levels were significantly higher in those with AL, particularly on postoperative days 3 and 5.
  • The results indicated that DFA levels on day 5 offered excellent diagnostic accuracy for detecting AL, with high sensitivity and specificity, suggesting that this method could be a simple and cost-effective way to detect complications early in these patients.
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The case is a 73-year-old woman. She visited primary care doctor for abdominal pain, vomiting, diarrhea, and melena that persisted for 2 weeks. She was referred to our department because she had an elevated inflammatory response and CT showed a mass in her left upper quadrant.

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A 65-year-old man presented to our hospital with complaints of diarrhea. Computed tomography showed a fistula with the small intestine, and a single incision laparoscopic low anterior resection for rectum with D3 dissection and partial resection of the small intestine were performed. Lymph node dissection, including a part of the inflow vessel area, was also performed because lymph node swelling was observed in the mesentery of the small intestine around the fistula.

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A 70-year-old man was admitted to our hospital with a chief complaint of right lower abdominal pain during defecation. The contrast-enhanced CT scan showed a highly expanded appendix, so we suspected an appendiceal mucinous neoplasm, but the diagnosis did not clearly suggest cancer. So, we decided to perform laparoscopic surgery.

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A 73-year-old woman was referred to our institution due to the presence of narrow and bloody stools. On rectal examination, a rectal mass was observed. Colonoscopy revealed a type 2 tumor in the rectum(RbP)that extended to the dentate line.

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Pulmonary hamartomas are common benign lung tumors. Most cases are parenchymal chondromatous hamartomas, whereas endobronchial lipomatous hamartomas are rarely encountered. A 78-year-old man was referred for left superior subsegmental atelectasis due to obstruction by an endobronchial tumor that was found incidentally on chest computed tomography for the postoperative follow-up of colon cancer.

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We report the case of a 75-year-old woman who developed acute mediastinitis from an infected bronchogenic cyst due to endoscopic ultrasound-guided transesophageal fine-needle aspiration (EUS-FNA) for making diagnosis. The patient developed fever, chest pain, and discomfort after EUS-FNA. A repeat chest computed tomography( CT) demonstrated a rapidly increased size of the mediastinal mass.

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The patient was 70-years-old women, 27 years ago, she was diagnosed with total colitis-type ulcerative colitis. Eighteen years after the diagnosis, she self-suspended his hospital visit because her condition was stable. After 4 years, ulcerative colitis rekindled, she resumed taking a 5-ASA.

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A 91-year-old woman visited a local hospital with the chief complaint of bloody stool. The patient was noted that her platelet count is 1,000/μL, so she was referred to our hospital. Also after admission, she had bloody stool continuously.

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A 52-year-old man with a history of von Recklinghausen's disease presented to our hospital with abrupt onset of right chest and back pain. A contrast-enhanced chest computed tomography (CT) revealed massive right hemothorax, extravasation of the contrast medium at a branch of the right subclavian artery, and a tumor surrounding the second right dorsal rib. Based on findings from emergent angiography, hemothorax secondary to the rupture of an aneurysm of a branch of the right subclavian artery was diagnosed, and transcatheter arterial embolization(TAE) was performed.

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Congenital cardiac membrane deficiency is a relatively rare condition. Here, we report a case of congenital cardiac membrane deficiency that manifested as left spontaneous pneumothorax. A 72-year-old man was hospitalized for recurrence of the spontaneous pneumothorax.

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The patient was a 60-year-old woman who underwent chest wall resection for a metastatic tumor in the anterior portion of the right 3rd rib, from thyroid cancer. The anterior portion of the right 3rd rib and the 2nd and 3rd intercostal muscles were resected, and chest wall reconstruction was not performed. On the 5th postoperative day, the patient developed a pulmonary hernia.

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Three cases of pulmonary actinomycosis have been postoperatively diagnosed in our hospital in the past 3 years. All the cases were preoperatively difficult to differentiate from lung cancer, and all were diagnosed in men. One of the patients was diagnosed on the basis of clinical symptoms, while the other 2 patients were diagnosed during the treatment and follow-up of other diseases.

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