Publications by authors named "Sachiyo Sugino"

•A patient who used carboplatin in the treatment of ovarian cancer developed SIADH.•She was able to continue treatment with regular salt intake.•This treatment may be an option for similar patients in the future.

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Introduction: We report a case of multiple hematomas, a rare manifestation of amniotic fluid embolism (AFE), during cesarean section.

Presentation Of Case: The patient had a history of pregnancy and cesarean section birth due to placental abruption. At 38 weeks and 2 days, her membrane ruptured, and an emergency cesarean section was performed.

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  • - The study compares postoperative pain management between robotic and laparoscopic total hysterectomies, focusing on the use of analgesics like NSAIDs and acetaminophen in patients who had surgery for conditions like uterine fibroids and adenomyosis.
  • - Out of 127 patients, 124 were analyzed, finding that 26.3% of those who had robotic surgery required analgesics post-op, compared to 60.5% from the laparoscopic group, suggesting more pain in the laparoscopic patients initially.
  • - However, while unadjusted analysis showed significant differences, the adjusted analysis did not confirm this, indicating no significant variance in analgesic use between the two methods; the study suggests that further research with
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A 23-year-old primigravida visited the hospital frequently since the early phase of her pregnancy because of severe hyperemesis gravidarum. She was hospitalized for the same at 14 weeks and 1 day of pregnancy. After admission, peripheral intravenous nutrition was started; however, her symptoms did not improve.

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A 21-year-old female patient delivered vaginally at 40 weeks of gestation after an uneventful pregnancy. She bled profusely during delivery and underwent a blood transfusion and was discharged home on postpartum day 6. On postpartum day 8, she developed respiratory distress and visited our emergency room.

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Decidualized ovarian endometrioma is a rare phenomenon that occurs during pregnancy. A 43-year-old pregnant woman with an endometriotic cyst increased owing to desmoplasia presented to us urgently with abdominal pain and was performed a cesarean section at 36 weeks and 1 day of pregnancy. The left ovarian cyst was noted to be partially ruptured, and the pathological diagnosis was an endometriotic cyst with desmoplasia.

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  • A 55-year-old woman with stage 4 pancreatic cancer experienced sudden abdominal pain and was found to have an ovarian tumor during an emergency visit.
  • An urgent laparoscopic surgery was performed to address the right ovarian tumor, which was determined to be torsioned.
  • Post-surgery analysis confirmed that the ovarian tumor was actually a metastasis from her existing pancreatic cancer, highlighting that such tumors in advanced cases may indicate spread from the primary cancer.
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  • A 51-year-old woman with ascites was diagnosed with adenocarcinoma following weight gain and imaging tests that revealed tumors in her omentum, umbilicus, and pancreas.
  • Laparoscopy confirmed the presence of a tumor replacing the omentum, and biopsies indicated she had carcinosarcoma.
  • Despite treatment with chemotherapy (paclitaxel and carboplatin), her condition worsened, leading to her death, with an autopsy confirming metastatic carcinosarcoma originating from the peritoneum.
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We report a case of an incidental diagnosis of early asymptomatic bladder cancer using transvaginal ultrasonography. The patient was a 68-year-old female without urinary symptoms. Transvaginal ultrasonography revealed a 2-cm papillary mass in the bladder mucosa.

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