No abstract available.

No abstract available.

No abstract available.
Regression Analysis*

An experimental study on cystitis glandularis induced by vesico-rectal fistula formation in rabbit was performed, to analyze relationship between histopathologic complexity of cystitis glandularis 3rd various forms of chronic proliferative cystitis, and to evaluate the possibility that contiguous endovesical growth of intestinal mucosa through fistulous tract may partly participate in the pathogenesis of cystitis glandularis. Followings were the results: 1) Various types and stages of chronic proliferative cystitis including cystitis glandularis were de. monstrable. 2) 51.5% of animals disclosed cystitis glandularis, of both intestinal and subtrigonal types with increasing frequency and severity roughly parallel to experimental duration. Minimum requirement of duration for development was approximately 3 months. 3) Among the cases with cystitis glandularis, intestinal type comprised 52. 9% mainly affecting trigonal regions, whereas subtrigonal type of 17.6% was encountered in the bladder neck. Rest of cases interpreted as mixed type, containing both intestinal and subtrigonal varieties. 4) More than two third of cases with cystitis glandularis accompanied nests of von Brunn, cystitis cystica, squamous metaplasia and small proportion of cystitis follicularis and bullosa, with indications of development of glandular structures followed by chronic non-specific cystitis, formation of von Brunn's cell nests with central liquefaction and glandular metaplasia in order of sequence. 5) Unusually high incidence of intestinal type of cystitis glandularis in the trigonal regions could partly be explained by endocystic contiguous extension or ectopic proliferation of intestinal glands through the fistulous tract. From the above experimental design, cystitis glandularis may develop not only following consequent metaplastic mechanism but also secondary to intravesical extension of colonic mucosa through the fistulous tract. None of cases showed invasive neoplastic growth, though cellular atypism was encountered only in three instances.
Animals ; Colon ; Cystitis* ; Fistula* ; Incidence ; Intestinal Mucosa ; Metaplasia ; Mucous Membrane ; Neck ; Research Design ; Urinary Bladder

The hemolytic uremic syndrome consists of microangiopathic hemolytic anemia, acute renal failure, and thrombocytopenia following a prodromal illness of gastroenteritis or upper respiratory infection. Sometimes, the syndrome can present in a dramatic fashion with severe abdominal pain and signs of intestinal obstruction, suggesting an intussusception or acute surgical crisis. A 2-year-old girl with a 3-day history of several episodes of bloody-mucoid diarrhea and severe abdominal pain was admitted under suspicion of intussusception. Her symptoms started 4 days after eating a pork and X-ray revealed the distended small bowel without a large bowel gas pattern. Colitis without perforation was found by abdominal ultrasonogram and sigmoidoscope. Unfortunately, she became pallor, puffy, and oliguric 7 days later. Clues to the diagnosis of hemolytic uremic syndrome in the early stages of the acute illness were oliguria, abnormal peripheral blood smear, anemia despite dehydration, and proteinuria. The onset is usually preceded by symptoms of gastroenteritis, such as fever, vomiting, abdominal pain, and bloody diarrhea. This is followed in 5 to 10 days by a sudden onset of pallor, irritability, weakness, lethargy, and oliguria. The majority of patients recover normal renal function with aggressive management of the acute renal failure. Careful medical management of the hematologic and renal manifestations, in conjunction with early and frequent peritoneal dialysis, offers the best chance of recovery from the acute phase. The present patient was recovered by apropriate fluid and electrolyte management, transfusions of packed RBCs, fresh frozen plasma, and early application of peritoneal dialysis.
Abdominal Pain ; Acute Kidney Injury ; Anemia ; Anemia, Hemolytic ; Child, Preschool ; Colitis* ; Dehydration ; Diagnosis ; Diarrhea ; Eating ; Female ; Fever ; Gastroenteritis ; Hemolytic-Uremic Syndrome* ; Humans ; Intestinal Obstruction ; Intussusception ; Lethargy ; Oliguria ; Pallor ; Peritoneal Dialysis ; Plasma ; Proteinuria ; Red Meat ; Sigmoidoscopes ; Thrombocytopenia ; Ultrasonography ; Vomiting

No abstract available.
Physiology* ; Pregnancy*

No abstract available.

No abstract available.

No Abstract Available.
Analysis of Variance*

No abstract available.