Successful Laparoscopic Treatment of Small-bowel Obstruction in Early Pregnancy.

Small-bowel obstruction (SBO) during pregnancy is uncommon and can be difficult to diagnose. Therefore, the condition is associated with significant maternal and fetal mortality. We report a case of successful laparoscopic treatment of SBO in early pregnancy. A 37-year-old woman presented with diffuse abdominal pain and vomiting at 8 weeks of gestation. She had a history of abdominal surgery. Exploratory laparoscopy was performed by a gastrointestinal surgeon because SBO, and specifically strangulated ileus, was strongly suspected. On entry into the abdomen, dilated small bowel was visible in the pelvis; this was attached to the pelvic wall and twisted near the right adnexa. The small bowel initially appeared dark and congested, but after releasing the adhesions, it regained its normal color, was viable, and peristalsis was observed. Therefore, bowel resection was not required. No recurrence was observed after food ingestion, and the patient was discharged 12 days after surgery.

A case of sarcomatoid malignant peritoneal mesothelioma diagnosed by laparoscopy.

•Malignant peritoneal mesothelioma, particularly the sarcomatoid type, is rare and aggressive.•Accurate diagnosis by ascites cytology is difficult.•Histological examination such as laparoscopy aids in diagnosis.•There is no clear consensus treatment for MPM and an extensive research program is needed.

[Investigation of trends in patients with pollinosis using the website].

BACKGROUND: The information about Japanese cedar pollinosis (JCP) from the Internet is growing these days. We examined the effects of the pollen information on people who have JCP. METHODS: We conducted web research from 2003 to 2006 between February 1st and April 30th on a pharmaceutical company's website. RESULTS: On a gender basis, women tended to seek information about JCP more than men did. Furthermore, women consulted a doctor when the amount of pollen was large, while men didn't. People who made wide use of the pollen information had a behavioral tendency to seek consultation and performed many kinds of self-care for their own disease. CONCLUSION: The information for JCP using the website has enormous effects on people's lives. We should give more meaningful information and patients should take more as well.

[Investigation of trend in patients with pollinosis using web site: Comparison of these three years].

BACKGROUND: Recently, the number of patient with Japanese cedar pollinosis (JCP) has been increasing. In the last 3 years, the amount of pollen has been very volatile. In this study, we examined that whether the amount of pollen influenced symptoms and selfcare using web site. METHODS: For this examination, the questionnaire on web site was used from March 15 to April 30, 2003, 2004, and 2005 respectively. RESULTS: The rate of early treatments was high in the years when the amount of pollen was large, while the rate was low in the years when the amount of pollen was little. In the comparison of symptoms, the severity of the symptoms, in particular, nasal congestion, itchy eyes, watering eyes, and disturbance of sleep, was highly related to the amount of pollen. In addition, these symptoms were the severest in 2005. And the selfcare was also changing according to the amount of pollen. CONCLUSION: We concluded the greater the amount of pollen was, the severer the nasal congestion, eye symptoms, and disturbance of sleep were. The questionnaire survey that uses web site is a limited investigation of patient who has the access to the Internet. However, in the trend survey of JCP patients, it seemed that was extremely meaningful.