Publications by authors named "Nozomi Matsushita"

Article Synopsis
  • - Biliary atresia (BA) is a rare condition in infants that leads to jaundice and can cause vitamin K deficiency bleeding (VKDB), leading to complications such as hematomas from vaccinations.
  • - A case of an 82-day-old girl with BA developed a significant hematoma in her arm after receiving a pneumococcal vaccine, resulting in a radial nerve palsy due to the bleeding.
  • - Timely detection and management of BA and VKDB are crucial, as delays can lead to severe consequences, including lasting nerve damage even after treatment interventions like liver transplant.
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Background: Simple hepatic cysts are common lesions in adults, but rare in children. Because of their benign nature, simple hepatic cysts may not be detected until they grow too large to be diagnosed and resected in a minimally invasive manner.

Case Presentation: An 18-month-old girl presented with an enormous cyst occupying the entire abdomen.

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Kato and colleagues present prenatal cases with transitional features between congenital biliary dilatation and biliary atresia. They propose that all prenatal biliary cysts originate from choledochal cysts with a narrow segment, but present on a spectrum from congenital biliary dilatation to biliary atresia depending on the severity of reactive biliary sclerosis.

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Background: Symptomatic congenital biliary dilatation (CBD) during early infancy is always characterized by cystic dilation of the common bile duct with a narrow segment connecting the pancreatic duct.

Case Presentation: In two consecutive infants with a prenatal diagnosis of CBD, we found that biliary sludge had formed in the cyst upon the appearance of symptoms including acholic stool and hypertransaminasemia. Infrared absorption spectrometry revealed that the sludge consisted of calcium bilirubinate.

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A 24-year-old man experienced gross haematuria and dysuria several times a year from the age of 19, presenting to this Department for the first time at age 21, when he was given standard antibiotic treatment for acute cystitis. Although urinary symptoms persisted, he failed to attend for follow-up. He attended another clinic at the age of 24 with increased urinary frequency.

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We present a case of bleeding from the prostatic artery, complicating transrectal ultrasound (TRUS) guided prostate needle biopsy, that responded to transcatheter arterial embolization (TAE). A 62-year-old man with a serum PSA of 4.1 ng/ml was admitted to this institution for a prostate biopsy.

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