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Yamamoto K, Maki Y, Sato Y, Tanaka H, Fukushima T, Ushijima J, Furukawa S, Sameshima H, Kataoka H. Multiple cardiac rhabdomyomas not associated with tuberous sclerosis in a dizygotic twins: a case report. J Med Case Rep 2021; 15:334. [PMID: 34218815 PMCID: PMC8256619 DOI: 10.1186/s13256-021-02943-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Accepted: 06/04/2021] [Indexed: 11/10/2022] Open
Abstract
Background Rhabdomyomas comprise the majority of cardiac tumors in fetuses and are found in association with tuberous sclerosis complex. More than 90% of fetuses and neonates with multiple cardiac rhabdomyomas have signs of tuberous sclerosis complex. However, solitary cardiac rhabdomyoma cases are largely unrelated to tuberous sclerosis complex. Here, we report a case involving multiple cardiac rhabdomyomas not associated with tuberous sclerosis complex in a dizygotic twin. Case presentation A 36-year-old Japanese woman was diagnosed with a dizygotic twin pregnancy in the first trimester. Consistent with dizygosity, the fetal sex was discordant (male and female). At 27 weeks of gestation, hydrops and multiple echogenic cardiac masses were noted in the male baby, with the largest mass measuring 34 × 30 mm. The female fetus appeared normal. The cardiac masses enlarged gradually with the progression of the hydrops. At 32 weeks of gestation, intrauterine death of the male fetus was confirmed. The next day, autopsy of the male fetus was performed after cesarean section. Three well-demarcated white-tan-colored nodules were formed in the ventricular walls and interventricular septum, with the largest nodule (40 × 30 mm) in the left ventricular wall. Histologically, these lesions were diagnosed as rhabdomyomas. Conclusions We encountered a case involving multiple cardiac rhabdomyomas arising in one of dizygotic twin fetuses. Unlike most reported cases of multiple cardiac rhabdomyomas, this case was not accompanied by tuberous sclerosis complex. To the best of our knowledge, this is the first case report of multiple cardiac rhabdomyomas that developed in only one of dizygotic twins in the English literature.
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Affiliation(s)
- Koji Yamamoto
- Section of Oncopathology and Regenerative Biology, Department of Pathology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan.
| | - Yohei Maki
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
| | - Yuichiro Sato
- Department of Diagnostic Pathology, Miyazaki University Hospital, University of Miyazaki, Miyazaki, Japan
| | - Hiroyuki Tanaka
- Section of Oncopathology and Regenerative Biology, Department of Pathology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan.,Department of Diagnostic Pathology, Miyazaki University Hospital, University of Miyazaki, Miyazaki, Japan
| | - Tsuyoshi Fukushima
- Section of Oncopathology and Regenerative Biology, Department of Pathology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan
| | - Junko Ushijima
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
| | - Seishi Furukawa
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
| | - Hiroshi Sameshima
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
| | - Hiroaki Kataoka
- Section of Oncopathology and Regenerative Biology, Department of Pathology, Faculty of Medicine, University of Miyazaki, 5200 Kihara, Kiyotake, Miyazaki, Japan
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Ushijima J, Furukawa S, Sameshima H. The Presence of Thyroid Peroxidase Antibody Is Associated with Lower Placental Weight in Maternal Thyroid Dysfunction. TOHOKU J EXP MED 2020; 249:231-236. [PMID: 31776300 DOI: 10.1620/tjem.249.231] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Thyroid dysfunction (TD) is caused by thyroid peroxidase (TPO) antibody, as seen in Hashimoto's disease. TD is a common problem of reproductive age and may impair fetal development. Here, we determined the effect of TPO antibody on perinatal outcomes in Japanese women with TD before conception. A retrospective study involving cases of maternal TD with term singleton birth was conducted. The subjects with TD were divided into two groups according to the presence (n = 22) or absence (n = 20) of TPO antibody. The control groups matched for age, parity, and gestational weeks were selected for TPO antibody-positive (n = 44) and -negative TD subjects (n = 40), respectively. Using the standard curve of Japanese placental weight, the frequency of placental weight less than the 50th percentile (small placenta) was examined. Placental weight was lower among TPO antibody-positive TD subjects, compared with TPO antibody-negative TD subjects (p < 0.01). However, other outcomes were similar between the groups. Importantly, compared with control mothers, placental weight was significantly lower (p < 0.01), birth weight tended to be lower (p = 0.07), and the incidence of gestational diabetes mellitus was higher (p = 0.02) among TPO antibody-positive subjects. There was no significant difference in placental weight between TPO antibody-negative subjects and controls. The frequency of small placenta was significantly higher in TPO antibody-positive subjects (odds ratio: 16.7) even when considering diabetes and pregnancy induced hypertension. Thus, the presence of TPO antibody is associated with lower placental weight among Japanese women having TD.
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Affiliation(s)
- Junko Ushijima
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki
| | - Seishi Furukawa
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki
| | - Hiroshi Sameshima
- Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki
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Watanabe T, Yamashita T, Sugawara H, Fukuchi T, Ishii A, Nagai Y, Ohyanagi F, Koyama S, Ushijima J, Takagi K, Tanaka A. Rapid Progression of Lung Cancer Following Emergency Caesarean Section Led to Postpartum Acute Respiratory Failure. Intern Med 2019; 58:991-997. [PMID: 30449778 PMCID: PMC6478973 DOI: 10.2169/internalmedicine.1105-18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Our case patient was a 38-year-old pregnant Japanese woman who underwent emergency Caesarean section because of massive vaginal bleeding due to a low-lying placenta. Immediately after delivery, she presented with rapidly progressive dyspnea. Contrast-enhanced computed tomography revealed bilateral pleural effusion, lung nodules, multiple liver tumors, and multiple osteolytic lesions. Accordingly, epidermal growth factor receptor-mutant advanced lung adenocarcinoma was diagnosed. This report highlights the occurrence of rapid progression of lung cancer following delivery that led to postpartum acute respiratory failure, rather than due to pulmonary thromboembolism associated with the existing deep venous thrombosis of the inferior vena cava.
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Affiliation(s)
- Tamami Watanabe
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
| | - Takeshi Yamashita
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
| | - Hitoshi Sugawara
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
| | - Takahiko Fukuchi
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
| | - Akira Ishii
- Division of General Medicine, Department of Comprehensive Medicine 1, Saitama Medical Center, Jichi Medical University, Japan
| | - Yoshiaki Nagai
- Division of Pulmonary Medicine, Clinical Department of Internal Medicine, Saitama Medical Center, Jichi Medical University, Japan
| | - Fumiyoshi Ohyanagi
- Division of Pulmonary Medicine, Clinical Department of Internal Medicine, Saitama Medical Center, Jichi Medical University, Japan
| | - Shinichiro Koyama
- Division of Pulmonary Medicine, Clinical Department of Internal Medicine, Saitama Medical Center, Jichi Medical University, Japan
| | - Junko Ushijima
- Perinatal and Maternal Center, Department of Comprehensive Medicine 2, Saitama Medical Center, Jichi Medical University, Japan
| | - Kenjiro Takagi
- Perinatal and Maternal Center, Department of Comprehensive Medicine 2, Saitama Medical Center, Jichi Medical University, Japan
| | - Akira Tanaka
- Department of Pathology, Saitama Medical Center, Jichi Medical University, Japan
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Makino S, Takeda J, Takeda S, Watanabe K, Matsubara K, Nakamoto O, Ushijima J, Ohkuchi A, Koide K, Mimura K, Morikawa M, Naruse K, Tanaka K, Nohira T, Metoki H, Kawabata I, Takagi K, Yamasaki M, Ichihara A, Kimura T, Saito S, Seki H. New definition and classification of “Hypertensive Disorders of Pregnancy (HDP). Hypertens Res Pregnancy 2019. [DOI: 10.14390/jsshp.hrp2019-010] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Shintaro Makino
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Jun Takeda
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Satoru Takeda
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Kazushi Watanabe
- Department of Obstetrics and Gynecology, Aichi Medical University School of Medicine
| | - Keiichi Matsubara
- Department of Obstetrics and Gynecology, Ehime University School of Medicine
| | | | - Junko Ushijima
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
| | - Keiko Koide
- Department of Obstetrics and Gynecology, Showa University School of Medicine
| | - Kazuya Mimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Mamoru Morikawa
- Department of Obstetrics, Hokkaido University Graduate School of Medicine
| | | | - Kanji Tanaka
- Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine
| | - Tomoyoshi Nohira
- Department of Obstetrics and Gynecology, Tokyo Medical University
| | - Hirohito Metoki
- Division of Public Health, Hygiene and Epidemiology, Tohoku Medical and Pharmaceutical University Faculty of Medicine
| | - Ikuno Kawabata
- Department of Obstetrics and Gynecology, Tokyo Women’s Medical University
| | - Kenjiro Takagi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Mineo Yamasaki
- Department of Obstetrics and Gynecology, Palmore Hospital
| | - Atsuhiro Ichihara
- Department of Endocrinology and Hypertension, Tokyo Women’s Medical University
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Shigeru Saito
- Department of Obstetrics and Gynecology, University of Toyama
| | - Hiroyuki Seki
- Department of Obstetrics and Gynecology, Saitama Medical University
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Watanabe K, Matsubara K, Nakamoto O, Ushijima J, Ohkuchi A, Koide K, Makino S, Mimura K, Morikawa M, Naruse K, Tanaka K, Nohira T, Metoki H, Kawabata I, Takeda S, Seki H, Takagi K, Yamasaki M, Ichihara A, Kimura T, Saito S. Outline of the new definition and classification of “Hypertensive Disorders of Pregnancy (HDP)”; a revised JSSHP statement of 2005. Hypertens Res Pregnancy 2018. [DOI: 10.14390/jsshp.hrp2018-014] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kazushi Watanabe
- Department of Obstetrics and Gynecology, Aichi Medical University School of Medicine
| | - Keiichi Matsubara
- Department of Obstetrics and Gynecology, Ehime University School of Medicine
| | | | - Junko Ushijima
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
| | - Keiko Koide
- Department of Obstetrics and Gynecology, Showa University School of Medicine
| | - Shintaro Makino
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Kazuya Mimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Mamoru Morikawa
- Department of Obstetrics, Hokkaido University Graduate School of Medicine
| | | | - Kanji Tanaka
- Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine
| | - Tomoyoshi Nohira
- Department of Obstetrics and Gynecology, Tokyo Medical University
| | - Hirohito Metoki
- Division of Public Health, Hygiene and Epidemiology, Tohoku Medical and Pharmaceutical University Faculty of Medicine
| | - Ikuno Kawabata
- Department of Obstetrics and Gynecology, Tokyo Women’s Medical University
| | - Satoru Takeda
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Hiroyuki Seki
- Department of Obstetrics and Gynecology, Saitama Medical University
| | - Kenjiro Takagi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Mineo Yamasaki
- Department of Obstetrics and Gynecology, Palmore Hospital
| | - Atsuhiro Ichihara
- Department of Endocrinology and Hypertension, Tokyo Women’s Medical University
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Shigeru Saito
- Department of Obstetrics and Gynecology, University of Toyama
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Ushijima J, Wang L, Ko H, Horiuchi I, Chikazawa K, Sasaki S, Kuwata T, Takagi K, Tanaka A. Rupture of hidden abnormal myometrial vessels during cesarean delivery of a patient with subserosal leiomyoma: A possible pathogenesis of sudden-onset disseminated intravascular coagulation. Clin Case Rep 2018; 6:1747-1750. [PMID: 30214755 PMCID: PMC6132163 DOI: 10.1002/ccr3.1718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Accepted: 06/23/2018] [Indexed: 11/10/2022] Open
Abstract
We report a case of sudden-onset disseminated intravascular coagulation during cesarean delivery for a patient with a subserosal leiomyoma. Rupture of hidden anastomotic vessels resulted in a significant decrease in fibrinogen levels and uncontrolled bleeding. Uterine venous flow disturbance caused by subserosal leiomyoma compression can possibly cause such a situation.
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Affiliation(s)
- Junko Ushijima
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Liangcheng Wang
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Hiroyoshi Ko
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Isao Horiuchi
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Kenro Chikazawa
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Shigetane Sasaki
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Tomoyuki Kuwata
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Kenjiro Takagi
- Perinatal and Maternal Center of Saitama Medical CenterJichi Medical UniversitySaitamaJapan
| | - Akira Tanaka
- Department of PathologySaitama Medical CenterJichi Medical UniversitySaitamaJapan
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Takagi K, Akashi K, Horiuchi I, Nakamura E, Samejima K, Ushijima J, Okochi T, Hamamoto K, Tanno K. Managing vulvovaginal hematoma by arterial embolization as first-line hemostatic therapy. Taiwan J Obstet Gynecol 2017; 56:224-226. [DOI: 10.1016/j.tjog.2016.03.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2016] [Indexed: 11/15/2022] Open
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Chikazawa K, Ushijima J, Takagi K, Nakamura E, Samejima K, Kadowaki K, Horiuchi I. Site and incidence of birth canal lacerations from instrumental delivery with mediolateral episiotomy. Taiwan J Obstet Gynecol 2017; 55:861-862. [PMID: 28040134 DOI: 10.1016/j.tjog.2016.05.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2016] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Instrument-assisted vaginal delivery is a significant risk factor for birth canal lacerations. Although many obstetricians recently are recommending restrictive rather than a routine episiotomy, reports have shown restrictive episiotomy to be associated with more extensive anterior birth canal trauma compared with routine episiotomy. MATERIALS AND METHODS We retrospectively reviewed 110 cases of forceps and vacuum deliveries and investigated the site of birth canal lacerations. Birth canal lacerations were divided into four sites according to direction-anterior, ipsilateral, contralateral, and posterior. RESULTS The frequency of lacerations were, from most to least, posterior (34%), lateral (21.7%), and anterior (1.9%). Moreover, among the lateral lacerations, they were more frequent in the contralateral side of episiotomy than the ipsilateral side (18.9% vs. 4.7%, p < 0.01). CONCLUSION Our results indicate that caution is also needed concerning not only the anterior site, but also the contralateral site of an episiotomy to prevent laceration in an instrument-assisted vaginal delivery.
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Affiliation(s)
- Kenro Chikazawa
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
| | - Junko Ushijima
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
| | - Kenjiro Takagi
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan.
| | - Eishin Nakamura
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
| | - Koki Samejima
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
| | - Kanako Kadowaki
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
| | - Isao Horiuchi
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine, Saitama, Japan
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9
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Watanabe K, Matsubara K, Nakamoto O, Ushijima J, Ohkuchi A, Koide K, Makino S, Mimura K, Morikawa M, Naruse K, Tanaka K, Nohira T, Metoki H, Takeda S, Seki H, Takagi K, Yamasaki M, Ichihara A, Kimura T, Saito S. New definition and classification of “Hypertensive Disorders of Pregnancy (HDP)”. Hypertens Res Pregnancy 2017. [DOI: 10.14390/jsshp.hrp2017-018] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kazushi Watanabe
- Department of Obstetrics and Gynecology, Aichi Medical University School of Medicine
| | - Keiichi Matsubara
- Department of Obstetrics and Gynecology, Ehime University School of Medicine
| | - Osamu Nakamoto
- Department of Obstetrics and Gynecology, Osaka City General Hospital
| | - Junko Ushijima
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology, Jichi Medical University School of Medicine
| | - Keiko Koide
- Department of Obstetrics and Gynecology, Showa University School of Medicine
| | - Shintaro Makino
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Kazuya Mimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Mamoru Morikawa
- Department of Obstetrics, Hokkaido University Graduate School of Medicine
| | | | - Kanji Tanaka
- Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine
| | - Tomoyoshi Nohira
- Department of Obstetrics and Gynecology, Tokyo Medical University
| | - Hirohito Metoki
- Division of Public Health, Hygiene and Epidemiology, Tohoku Medical and Pharmaceutical University Faculty of Medicine
| | - Satoru Takeda
- Department of Obstetrics and Gynecology, Juntendo University Faculty of Medicine
| | - Hiroyuki Seki
- Department of Obstetrics and Gynecology, Saitama Medical University
| | - Kenjiro Takagi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Mineo Yamasaki
- Department of Obstetrics and Gynecology, Palmore Hospital
| | - Atsuhiro Ichihara
- Department of Endocrinology and Hypertension, Tokyo Women’s Medical University
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine
| | - Shigeru Saito
- Department of Obstetrics and Gynecology, University of Toyama
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Horiuchi I, Fukatsu Y, Ushijima J, Nakamura E, Samajima K, Kadowaki K, Takagi K. A pregnancy-associated nonfamilial case of PAPA (pyogenic sterile arthritis, pyoderma gangrenosum, acne) syndrome. Clin Case Rep 2016; 4:989-991. [PMID: 27761253 PMCID: PMC5054477 DOI: 10.1002/ccr3.662] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Revised: 03/09/2016] [Accepted: 07/12/2016] [Indexed: 12/02/2022] Open
Abstract
Little is known about the influence of pregnancy on pyogenic sterile arthritis, pyoderma gangrenosum, acne (PAPA) syndrome. We experienced a rare case of pregnancy complicated with PAPA syndrome. The patient had various histories of skin and joint disorders and experienced subarachnoid hemorrhage during pregnancy; however, her skin lesion was unaffected.
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Affiliation(s)
- Isao Horiuchi
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
| | - Yuko Fukatsu
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan; Obstetrics and Pregnancy Saiseikai Kawaguchi General Hospital Kawaguchi Saitama Japan
| | - Junko Ushijima
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
| | - Eishin Nakamura
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
| | - Koki Samajima
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
| | - Kanako Kadowaki
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
| | - Kenjiro Takagi
- Perinatal Center Saitama Medical Center Jichi Medical University Saitama Japan
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Nakamura E, Ushijima J, Samejima K, Akashi K, Hotta D, Kadowaki K, Horiuchi I, Takagi K. Pregnancy with mitochondrial disease complicated by threatened preterm labor and preeclampsia. Hypertens Res Pregnancy 2016. [DOI: 10.14390/jsshp.hrp2015-015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Eishin Nakamura
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Junko Ushijima
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Koki Samejima
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Keiko Akashi
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Daisuke Hotta
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Kanako Kadowaki
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Isao Horiuchi
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
| | - Kenjiro Takagi
- Saitama Medical Center, Jichi Medical University, Perinatal Center, Division of Maternal Fetal Medicine
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12
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Chikazawa K, Takagi K, Takahashi H, Akashi K, Nakamura E, Samejima K, Ushijima J, Horiuchi I. Introduction of forceps delivery education for residents at a single perinatal institution. Hypertens Res Pregnancy 2016. [DOI: 10.14390/jsshp.hrp2016-006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kenro Chikazawa
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Kenjiro Takagi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Hideki Takahashi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Keiko Akashi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Eishin Nakamura
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Koki Samejima
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Junko Ushijima
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
| | - Isao Horiuchi
- Perinatal Center, Divisions of Maternal and Fetal Medicine, Saitama Medical Center, Jichi Medical University
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Soeda S, Ushijima J, Furukawa S, Miyajima M, Sakuma K, Watanabe T, Miyazaki M, Hashimoto Y, Nishiyama H, Fujimori K. Uterine arteriovenous malformation formed in a large uterine cervical myoma. TOHOKU J EXP MED 2013; 228:181-7. [PMID: 23060199 DOI: 10.1620/tjem.228.181] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Arteriovenous malformation (AVM) can arise in various organs, particularly the brain, but it is rare in the uterus. Uterine AVM is potentially lethal and is generally associated with uterine trauma, such as dilatation and curettage, therapeutic abortion or uterine surgery. On the other hand, uterine myoma is the most common benign gynecological tumor, but uterine cervical myoma is rare and grows in the extraperitoneal space, with development of complex capillary networks within the tumor. Cervical myoma surgery is therefore a difficult operation with a risk of massive bleeding. We report herein a patient with uterine AVM formed within a large cervical myoma in a postmenopausal woman. The patient was a 55-year-old Japanese woman who complained of lower abdominal distension. Ultrasonography, computed tomography and magnetic resonance imaging showed an 18 × 20-cm uterine cervical tumor with dilatation of numerous vessels. Pelvic angiography was scheduled to provide accurate diagnosis and to minimize intraoperative blood loss. In fact, preoperative pelvic angiography allowed us to identify the true feeding artery and drainage veins. Occlusion of the feeding artery with a balloon device is effective in decreasing intraoperative bleeding. Abdominal total hysterectomy was performed as the surgical management of this uterine AVM. Prophylactic endovascular balloon occlusion of the ipsilateral internal iliac artery reduced the amount of hemorrhage during surgery, although blood transfusion was needed in our patient. In conclusion, preoperative embolosclerotherapy should be considered as a treatment option in patients with AVM present in a large uterine cervical myoma.
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Affiliation(s)
- Shu Soeda
- Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine, Fukushima, Japan.
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Ushijima J, Fujii T, Shirohashi K, Oizumi K. [A case of primary mesenterium adenocarcinoma]. Nihon Naika Gakkai Zasshi 1992; 81:1698-9. [PMID: 1469323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Mineo H, Kitade A, Kawakami S, Kato S, Ushijima J. Effect of intravenous injection of acetate on the pancreas of sheep. Res Vet Sci 1990; 48:310-3. [PMID: 2193332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The effect of an intravenous injection of acetate on plasma insulin and glucagon concentration was examined in conscious sheep. Sodium acetate (312 to 5000 mumol kg-1 bodyweight) injection increased plasma insulin concentrations in a dose-dependent manner. Plasma glucagon concentration was not affected by doses up to 1250 mumol kg-1. Doses of 2500 and 5000 mumol kg-1 produced significant increases (P less than 0.05), but not in a dose related manner. The results of this study indicate that the receptive mechanism of the A cell in the sheep pancreas to acetate might be different from that of the B cell.
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Affiliation(s)
- H Mineo
- Department of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, Japan
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Kato S, Asakawa N, Mineo H, Ushijima J. Effect of short-chain fatty acids on pancreatic exocrine secretion in calves aged 2 weeks and 13 weeks. Nihon Juigaku Zasshi 1989; 51:1123-7. [PMID: 2481059 DOI: 10.1292/jvms1939.51.1123] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Effects of short-chain fatty acids on pancreatic exocrine secretion were studied under anesthesia in calves within 2 weeks of age (2-wks calves) given only whole milk and milk replacement and in which rumen fermentation has not begun yet, and in calves at 13 weeks of age (13-wks calves) weaned at 40 days of age and in which rumen fermentation has already begun. Basal rate of juice flow and protein concentration and amylase activity in pancreatic juice under basal condition were significantly lower in the 2-wks calves than those in the 13-wks calves. Intravenous administrations of acetate, propionate and butyrate stimulated pancreatic juice secretion and protein and amylase output in both groups of calves. Those responses were increased with increasing carbon number in the molecule of fatty acids. Although the response of amylase output (/kg of body weight) in the 2-wks calves was significantly less than that in the 13-wks calves, the response of juice flow and protein output (/kg of body weight) in the 2-wks calves were equivalent to or greater than those in the 13-wks calves. These results indicate that the characteristic of pancreas, being stimulated by short-chain fatty acids, in calves and probably in other ruminants is not generated on the process of postnatal development, but has been already acquired before rumen fermentation begins.
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Onaga T, Kato S, Mineo H, Ushijima J. EFFECT OF CHOLECYSTOKININ OCTAPEPTIDE ON CONTRACTION OF BOVINE RUMINAL MUSCLE. Asian Australas J Anim Sci 1989. [DOI: 10.5713/ajas.1989.165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Oyamada T, Mineo H, Yasuda T, Akiyama M, Kato S, Ushijima J. Effect of Feeding Frequency on Changes in Plasma Glucose and the Molar Ratio of Insulin to Glucagon in Sheep. Asian Australas J Anim Sci 1989. [DOI: 10.5713/ajas.1989.220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kato S, Hirokawa E, Mineo H, Ushijima J. Effects of Short-Chain Fatty Acids on Pancreatic Electrolyte Secretion in Sheep. Asian Australas J Anim Sci 1989. [DOI: 10.5713/ajas.1989.189] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Mineo H, Yasuda T, Akiyama M, Oyamada T, Kato S, Ushijima J. Twenty-four-hour Profiles of Hepatic Blood Flow in Sheep. Asian Australas J Anim Sci 1989. [DOI: 10.5713/ajas.1989.141] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ushijima J, Koyama K, Yuasa A. [Glucuronic acid metabolism in dairy cows. Excretion in the urine]. Nihon Juigaku Zasshi 1964; 26:43-51. [PMID: 5896556 DOI: 10.1292/jvms1939.26.43] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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