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Koganei K.,Yokohama Citizens Municipal Hospital | Sugita A.,Yokohama Citizens Municipal Hospital | Kimura H.,Yokohama City University | Yamada K.,Yokohama Citizens Municipal Hospital | And 2 more authors.
Japanese Journal of Gastroenterological Surgery | Year: 2010

The incidence of anorectal complications in ulcerative colitis is reported to be relatively low. Problems may arise, however, if patients require surgery to treat ulcerative colitis. We studied 9 ulcerative colitis patients with anorectal complications, such as anal fistula (5 cases), and rectovaginal fistula (4). All had pancolitis with remission and relapse. Surgical indications were medical treatment failure in 4, dysplasia in 2, severe colonic disease in 2. Seven of the 9 were treated with stapled ileal pouch anal anastomosis of the anal canal with removal of the primary opening and 2 with ileal pouch anal anastomosis with rectal mucosal stripping. Postop-eratively, 8 had no symptoms or recurrence of anorectal complications except for one rectovaginal fistula patient who had occasional small vaginal discharges. Bowel movements one year after surgery averaged 6.4 times a day. One patient had soiling and two had occasional soiling. All returned to ordinary life. Stapled ileal pouch anal anastomosis with removal of the primary opening and ileal pouch anal anastomosis are thus suitable for ulcerative colitis patients with symptomatic anorectal complications. © 2010 The Japanese Society of Gastroenterological Surgery. Source

Kohno M.,Yokohama Citizens Municipal Hospital | Namura K.,Yokohama Citizens Municipal Hospital | Fujikawa A.,Yokohama Citizens Municipal Hospital | Sawada T.,Yokohama Citizens Municipal Hospital | And 2 more authors.
Acta Urologica Japonica | Year: 2013

A 51-year-old woman was referred to our hospital because of continuing back pain for 2 weeks. Computed tomography revealed a mass 30 × 40 mm in diameter adjacent to the left adrenal gland. We performed laparoscopic surgery in order to relieve the symptoms and make a diagnosis. Because there was adhesion between the mass and gastric wall, the mass was resected together with the gastric wall. Histopathological findings revealed the cyst with ciliated columunar epithelium and the final diagnosis was retroperitoneal bronchogenic cyst. There was no evidence of malignancy and the back pain disappeared. Source

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