LAPAROSCOPICAL EXAMINATION IN A PATIENT WITH ACUTE HEPATITIS AND MYOMA UTERII
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概要
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Three days after admission, jaundice manifested in this 30 years old house wife, who had been to be gynecologically operated because of myoma uterii in the gynecological clinic of Tokyo Medical College Hospital in Tokyo. At that time, biochemical examin-ation of blood serum resulted in as follows : total bilirubin 4, 6 mg/dl, conjugated bilirubin 3, 15 mg/dl, alkaline phosphatase 15, 1 King-Armstrong units, GOT 1920, GPT 1420. Eased upon these results, the authors diagnosed this patient as acute viral hepatitis. As the clinical findings had normalized about five weeks after the beginning of hepatic disorder, we have done lapa-roscopy on her. Laparoscopical examination revealed slightly inflammatory changes of the liver and the enlar-ged uterus with several nodular myoma. Therefore, we supposed. that the uterus of this patient had myoma and was increasing in size owing to pregnancy. Then, a gynecologist made a diagnosis that she was five months pregnant. She hoped that she gave birth to a child and stood thereafter under gynecological observation as a outpatient. If we were conscious of her pregnancy, we should like to perform no laparoscopical examination on her. Because, it is very important for her, to bring the period of pregnancy to perfection and to give birth to a child carefully. The authors guess that it is better to avoid the performance of a laparoscopical examination during the period of pregnancy. It is unexpectedly delightful for us to see that the pregnancy goes on without accident and she is going to have a child.
- 社団法人 日本消化器内視鏡学会の論文
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