Case was a 63-year-old female. She was admitted to hospital because of hematoemesis. Laboratory data showed slight anemia, increasing data of eosinophil and IgG. No pathological findings were ...recognized by chest plain X-ray films and abdominal CT scan, At first, we suspected rupture of esophago-gastric varices, portal hypertensive gastropathy and so on, because she attended our hospital for Primary biliary cirrhosis. Upper GI endoscopy performed in an emergency showed oozing from multiple erosions in the stomach. She was hospitalized by the diagnosis of acute gastric mucosal lesion. We performed 2nd upper GI endoscopy on 3 hospitalized days for checking the state of affairs. Endoscopic pictures showed a white roundworm in 2nd portion of the duodenum. This worm could be removed by grasping forceps led to the diagnosis of Ascaris lumbricoides. And then, She was cured of this disease by taking Pyrantel pamoate. In recent years, the Incidence of Ascaris lumbricoides has been decreasing because of improved public hygiene and living standards in Japan. However, there is a slight increasing in number of cases due to the natural foods boom and increasing contact with foreign countries. In this case, the origin was natural foods. It is necessary for clinicians to be able to take parasitosis into consideration.
Many methods have been attempted to repair defects in the articular cartilage involving the subchondral bone, but no satisfactory method has yet been established. We performed an experimental study ...utilizing autogenous meniscus grafts for defects in the articular cartilage involving the subchondral bone. Sixty-two knees of 31 rabbits were thus treated. Gross and histological examinations were performed in animals sequentially sacrificed after 2 to 24 weeks. In gross examinations, the articular surface was smooth and the degenerative changes were slight although the grafted area appeared as a piece of whitish meniscus in all experimental knees. Histologically, 12 weeks were necessary for complete union in the superficial zone of the junction between the grafted meniscus and the subchondral bone. However, the junction in the deep zone was completely united after two weeks. Degenerative changes, such as fibrillation or ulceration were not noted on the surface of the grafted meniscus. The chondrocytes of the meniscus survived for as long as 24 weeks. The autogenous meniscus graft appears to be a promising alternative for defects in the articular cartilage.
症例は61歳女性．全身痙攣を主訴に当院救急外来に搬送された．来院時は出血性ショック状態であった．全身状態が安定した後腹部血管造影検査，computed tomography during arterial ...portography(CTAP)を施行し，上腸間膜静脈を流入路，左卵巣静脈を流出路とする異常拡張血管を認めた．上部消化管内視鏡検査を施行して十二指腸水平部静脈瘤を確認した．経皮経肝門脈側副血行路塞栓術，内視鏡的cyanoacrylate局注療法を行い，異常血管は消失した．
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