稀有ナル遊走脾ノ一例
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概要
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1) When an examination was made of a 37 year-old married out-patient, who complained chiefly of severe vomiting and stomach colic and who had a tumour in her epigastrium, she was first suspected of having cancer of the stomach. Her father had died of the cancer disease.<BR>2) Following an X-ray inspection, the large tumour in the hind wall of the stomach was believed to be a pancreas tumour or a dilatation of the spleen, but cancer of the stomach could not be ruled out altogether.<BR>3) Observation of the blood showed a relatively lymphocytose condition (36%), and anaemic and other changes could not be recognized.<BR>Both Wasserman's and Kahn's reactions were negtive.<BR>4) Observation of the gastric juices indicated that the patient had relatively low acidity, but was not acidless.<BR>Aside from small quantities of urobilin add urobilinogen appearing in the urine, no other changes were evidenced.<BR>5) The tumour became enlarged prior to menstruation, resulting in increased severness of the stomach symptoms, but as a rule, all the symptoms became light as soon as menstruation stopped.<BR>6) Upon performing laparatomie, the tumour was fond to be the mobile spleen resulting from advance slackness of ligamentum hepatogastrium, ligamentum gastrolienale and ligamentum phrenicolicun due to stomach ptosis.<BR>7) An operation was performed in weich one-half of the stomach was removed together with an operation to immobilize the spleen as well as the appendix.<BR>Three weeks later the patient was discharged in a healthy condition.
- 日本内分泌学会の論文