- Hepatocellular Carcinoma Treatment and Prognosis
- Pancreatic and Hepatic Oncology Research
- Liver Disease Diagnosis and Treatment
- Abdominal vascular conditions and treatments
- Vascular Anomalies and Treatments
- Venous Thromboembolism Diagnosis and Management
- Lymphatic Disorders and Treatments
- Pancreatitis Pathology and Treatment
- Vascular Procedures and Complications
- Renal and Vascular Pathologies
- Aortic aneurysm repair treatments
- Congenital Diaphragmatic Hernia Studies
- Liver Disease and Transplantation
- Gastrointestinal disorders and treatments
- Renal cell carcinoma treatment
- Pulmonary Hypertension Research and Treatments
- Ultrasound in Clinical Applications
- Long-Term Effects of COVID-19
- COVID-19 Clinical Research Studies
- Tracheal and airway disorders
- Cancer, Hypoxia, and Metabolism
- Vascular Malformations and Hemangiomas
- Esophageal and GI Pathology
- Sepsis Diagnosis and Treatment
- Prostate Cancer Treatment and Research
National Defense Medical College
2018-2024
Keio University
2018
Nippon Koei (Japan)
2018
National Defense Medical College Hospital
2018
Keio University Hospital
2016
Key message We present the case of a patient who developed massive right pleural effusion after pelvic surgery, not thoracic surgery. Lymphatic leakage into abdominal cavity surgery can cause when complicated with porous diaphragm syndrome.
IntroductionIn patients with severe coronavirus disease 2019 (COVID-19), respiratory failure is a major complication and its symptoms occur around one week after onset. The CURB-65, A-DROP expanded CURB-65 tools are known to predict the risk of mortality in community-acquired pneumonia. In this retrospective single-center study, we aimed assess correlations A-DROP, scores on admission an increase oxygen requirement acute syndrome 2 (SARS-CoV-2) pneumonia.MethodsWe retrospectively analyzed...
We report an 85-year-old man who underwent transarterial embolization (TAE) for infected internal iliac artery aneurysm. The patient presented with fever and left lower abdominal pain. Computed tomography (CT) revealed the expansion of a planned surgical treatment aneurysm; however, patient's age general condition made surgery high-risk. Therefore, we performed emergency TAE. was administered antibiotics 4 weeks discharged on day 33 after procedure good progression. A 3-year follow-up CT...
Lymphorrhea is a rare complication of rectal surgery. Although percutaneous embolization thoracic or lymphatic ducts now increasingly being reported for various types leakage, there are only sparse data on interventions lymphorrhea following A novel balloon-occluded retrograde (BRLE) technique can be simple and effective option intractable lymphorrhea. We report case man with infected after resection. Transperineal drainage was performed; however, leakage persisted 1 month conservative...
BACKGROUND:Acquired cystic disease-associated renal cell carcinoma (ACD-associated RCC), which was added to the 2016 World Health Organization classification, is most common subtype of RCC in patients undergoing long-term dialysis. ACD-associated underrecognized and reports computed tomography (CT) magnetic resonance imaging findings for lesion are sparse. Similar urothelial carcinoma, poorly slightly enhanced on dynamic CT. Here, we report 2 cases filling pelvis mimicking carcinoma. CASE...
Prostate cancer management includes identification of clinically significant cancers that may require curative treatment. Statistical models based on gamma distribution can describe diffusion signal decay curves prostate cancer. The purpose this study was to evaluate the ability parameters obtained with model in differentiating different Gleason score values.This included 155 patients who underwent multiparametric magnetic resonance imaging prior biopsy (127 patients) or radical...
We report a case of deep femoral artery aneurysm with ligated proximal that was successfully managed endovascular therapy. An 84-year-old male referred to our institute history surgical resection left ruptured wherein another found on the peripheral side. Proximal ligation lesion performed. The residual had gradually enlarged after surgery, and contrast-enhanced computed tomography showed contrast effects in extended distal artery. treated by direct percutaneous puncture embolization...
Abstract Despite advances in diagnostic imaging and interventional techniques, pancreatic pseudoaneurysms remain a life-threatening complication of pancreatitis. Presentation varies among patients may include intra-abdominal, retroperitoneal, or gastrointestinal bleeding into the common bile duct. We present unique case 74-year-old man with history heavy alcohol consumption who presented haematoma surrounding caudate lobe liver. Initially, alcoholic cirrhosis ruptured hepatocellular...
Abstract Superior mesenteric artery (SMA) invasion by a malignant tumour is serious condition leading to intestinal ischaemia. Although SMA stenting has been reported be useful for dissection and stenosis caused atherosclerotic plaque, rarely uncertain. A 75-year-old woman presented ulcer melena of unresectable pancreatic cancer. The bare metal stent was implanted the vessel stenosis, small markedly improved after stenting. However, one half months occluded thrombectomy performed. After...
Bleeding occurs after liver biopsy in up to 10.9% cases, and patients with impaired hemostasis or ascites are considered have absolute relative contraindications. N-butyl cyanoacrylate enables immediate hemostasis, even lethal situations. Therefore, percutaneous combined tract embolization using is expected enable safe biopsy, for whom conventional contraindicated. Here we describe our initial experience coaxial cyanoacrylate.Eighty-six who underwent between October 2014 July 2020, including...
Assessment of liver fibrosis is essential for the management disease. Although biopsy gold-standard modality diagnosis fibrosis, it has some limitations. Thus, other methods are required to overcome disadvantages a biopsy. T1ρ magnetic resonance imaging (MRI) values potential biomarkers cirrhosis. This study aimed assess relationship between MRI and severity by measuring correlation shear wave elastography (SWE) values, which routinely used fibrosis.T1ρ SWE were obtained from four healthy...
Contrast-enhanced CT and MR angiography are widely used for follow-up of visceral artery aneurysms after coil embolization. However, potential adverse reactions to contrast agents image deterioration due susceptibility artifacts from the coils major drawbacks these modalities. Herein, we introduced a novel non-contrast-enhanced technique using ultra-short TE combined with modified signal targeting alternating radio frequency asymmetric inversion slabs, which could provide serial hemodynamic...
Abstract A 44-year-old man presented with a chief complaint of constipation. Initial contrast-enhanced CT showed extensive bowel wall thickening, mainly in the left colon, thin cord-like inferior mesenteric vein (IMV), contrast to ectatic venous branches, suggesting ischaemia owing stasis. One month later, at time symptom exacerbation, angiography IMV and branches early enhancement, presence an arteriovenous fistula (AVF). Owing progression necrosis peritonitis, emergency surgery was...
The diagnostic performance of endoscopic retrograde cholangiography (ERC) with radiography is imperfect. We assessed the value adding tomosynthesis to ERC for detection choledocholithiasis.This study included 102 consecutive patients (choledocholithiasis/non-choledocholithiasis, n = 57/45), who underwent both and in same examination were not diagnosed malignancy. reference standard existence choledocholithiasis was confirmed by stone extraction during ERC, intraoperative cholangiography, or...