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Department of Gastroenterology
638
Total Impact Points
17
Members
Graduate School of Nanobioscience
1,230
Total Impact Points
11
Members
Department of Urology
282
Total Impact Points
8
Members

Publication History View all

  • [Show abstract] [Hide abstract]
    ABSTRACT: Hemorrhagic ascites due to endometriosis is extremely rare, and its treatment is under discussion. We report a case of recurrent endometriosis related ascites treated with dienogest (DNG). A 35-year-old nulliparous Japanese woman with a history of infertility presented with worsening dysmenorrhea and abdominal distention caused by massive ascites. The patient underwent exploratory laparotomy, and hemorrhagic ascites 5500ml was drained. She had a normal-sized uterus, and the bilateral ovaries could not be observed due to extensive adhesion in the abdominal cavity. Endometriosis was diagnosed by histopathological evaluation of the omentum biopsy and this was considered to be the cause of ascites. After laparotomy she had recurrence of ascites. For the next 8 years, the patient was treated conservatively with gonadotropin-releasing hormone (GnRH) agonist therapy and drainage during the intermittent periods, followed by DNG administration. She has been treated continuously with DNG for 1 year with no recurrence of ascites. DNG could be an effective treatment for recurrent ascites associated with endometriosis, especially when surgical therapy is undesirable.
    Journal of Minimally Invasive Gynecology 11/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: Takotsubo cardiomyopathy (TC) is a recently recognized novel cardiac syndrome characterized by transient left ventricular dysfunction without obstructive coronary disease, electrocardiographic (ECG) changes (ST-segment elevation and/or negative T wave) or elevated cardiac enzymes. Because the clinical features and ECG findings of TC mimic those of anterior acute myocardial infarction (AMI) with occlusion of the left anterior descending coronary artery, differential diagnosis has an important role in selecting the most appropriate treatment strategy. Especially in the acute phase, differential diagnosis is essential for deciding whether reperfusion therapy is required. Although it has been suggested that ECG does not allow reliable differentiation between TC and anterior AMI, several ECG criteria distinguishing TC from anterior AMI have been proposed. In this review, we discuss ECG findings of TC, especially in the acute phase, compare them with those of anterior AMI, and identify ECG features that may facilitate early recognition of this disease.
    Journal of electrocardiology 09/2014;
  • Tetrahedron 08/2014; 70(31):4587–4594.

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  • Address
    Yokohama, Japan
  • Head of Institution
    yokohama-cu.ac.jp
  • Website
    www.yokohama-cu.ac.jp
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Top publications last week by downloads

 
22nd International Symposium on Glycoconjugates; 06/2013
16 Downloads
 
Journal of thoracic oncology: official publication of the International Association for the Study of Lung Cancer 01/2009; 3(12):1384-90.
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