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Biomedical subjects

C Kuroda

Publications and source records attributed to C Kuroda.

At least 127 records · Page 7Linked to original sources

Normal anatomy of the pyloric branch and its diagnostic significance in angiography.

The course of the pyloric branch, usually arising from the distal end of the gastroduodenal artery, was investigated using angiography of 15 specimens and of 200 patients. It was found that the pyloric branch usually supplies the greater curvature of the gastric antrum and of the duodenal bulb, pylorus and the oral portion of the descending duodenum, although there may be some variations. A correct diagnosis of the primary site and extent of a malignant tumor in the gastric antrum, duodenum or pancreatic head, needs a thorough knowledge of the normal anatomy of the pyloric branch.

Angiography↗

Renal arteriovenous malformations: transcatheter embolization and follow-up.

Transcatheter embolization was performed in three patients with renal arteriovenous malformations with multiple arterial feeders. The patients were followed angiographically for 6--14 months. In two cases, the malformation disappeared with focal loss of renal tissue in the region of embolization. In the third, there was recurrence of hematuria. Angiography demonstrated incomplete embolization, but the arteriovenous malformation had diminished.

Adolescent↗

Transvenous adrenalectomy for advanced carcinoma of the breast.

Since in our extensive series, there was only minimal morbidity and no mortality, we suggest that transvenous adrenalectomy be recommended to more patients with advanced carcinoma of the breast. In this way, patients would be spared an additional operative procedure, while treatment efficacy is monitored by available tests of adrenal function. Since the success rate approaches that offered by surgical ablation, this simpler and less time-consuming approach to adrenalectomy may result in the modality being offered to selected candidates who would otherwise not consider the alternative of surgical adrenal ablation.

Adrenal Glands↗

Hemobilia after percutaneous transhepatic biliary drainage.

Hemobilia after the inception of percutaneous transhepatic biliary drainage (PTBD) has been reported as an uncommon, but sometimes fatal, complication. We examined the incidence, pathogenesis, and management of hemobilia in 94 patients who received PTBD. There were seven cases (7.4%) with transient and six (6.4%) with severe hemobilia; one patient (1.1%) of the latter group died. There was no correlation between hemobilia and hemostatic or hepatic insufficiency. Angiography during PTBD was performed in 47 patients, and abnormalities restricted to arterial changes were noted in nine (19.1%). All but one patient with hemobilia showed angiographic abnormalities. Our findings indicate that hemobilia occurs more often than has been suspected and that it is usually due to intrahepatic vessel injury rather than to hemorrhagic diathesis or hepatic insufficiency. The primary management of hemobilia consists of maintaining continuous patency of the drainage catheter.

Adult↗

Hepatocellular carcinoma in a case of Dubin-Johnson syndrome treated successfully with right extended lobectomy.

A 57-year-old man with hepatocellular carcinoma and liver cirrhosis combined with Dubin-Johnson syndrome was successfully treated by extensive right hepatic lobectomy. While the preoperative serum bilirubin level is one of the criteria in determining the indication for radical hepatic resection, it does not play a decisive role in the case of combined Dubin-Johnson syndrome.

Bilirubin↗

Accessory left gastric artery arising from left hepatic artery: angiographic study.

An accessory left gastric artery may arise from the left hepatic artery and follow a course similar to an intrahepatic artery. In 98 hepatic angiograms an accessory left gastric artery was observed in 14 (14.2%). The site of origin of this artery was from the left hepatic artery proximal to the umbilical point. An esophageal branch was found in 10 cass (71.4%). The possibility of an accessory left gastric artery should be kept in mind during angiography of the left hepatic lobe and gastric fundus. A gastric wall stain in the capillary phase produced by this vessel may mimic a hepatic tumor.

Angiography↗