1.A Case of Conservative Management of Idiopathic Segmental Infarction of the Greater Omentum
Midori KANEKO ; Tomonori MIYAZAWA ; Norihiko KOIDE ; Nobuhiro FUJITA
Journal of the Japanese Association of Rural Medicine 2013;62(1):31-33
A 39-year-old man was admitted to our hospital with right lower abdominal pains. Physical examination revealed focal tenderness in the right lower quadrant abdomen. Abdominal CT scan demonstrated heterogeneous increased fat density in the right greater omentum. That said, we diagnosed the disease as idiopathic segmental infarc- tion of the greater omentum. He underwent conservative management with antibiotics and analgesics. With his abdominal pains dramatically resolved, the patient was discharged from our hospital ten days after hospitalization. The standard treatment for the idiopathic segmental infarction of the greater omentum has not been established. We report this case together with a review of some literature.
2.Acupunctural Stimulation of The Pudendal Nerve for Treatment of Urinary Disturbances.
Ken YAMAGIWA ; Hiroshi KITAKOUJI ; Kazurou SASAKI ; Keisou ISHIMARU ; Yoshiki OYAMA ; Midori KINOSHITA ; Katsuhisa WATANABE ; Masahiro IWA ; Toshikatsu KITADE ; Tatsuzo NAKAMURA ; Hiroshi KANEKO
Journal of the Japan Society of Acupuncture and Moxibustion 1993;43(2):53-57
An educational video describing the acupunctural stimulation of the pudendal nerve for treatment of urinary disturbances was produced. Treatment points on the meridian were selected within the limits of the top 1/2 to 3/5 of the line that connects the superior posterior iliac spine and the inner lower edge of the ischiatic tuberosity. Since the pudendal nerve is situated between the sacrospinous ligament in this region, it could be readily stimulated from the body surface. A 90mm (#24) acupuncture needle was used for the treatments. When the needle was inserted to a depth of 50-80mm from the body surface, the pudendal nerve was reached. Echo sensation in the penis indicated that the acupuncture needle had contacted the pudendal nerve.
Either the sparrow-pecking, needle-twisting, or the low frequency acupunctural techniques were used to delver stimulation to the pudendal nerve. In conclusion, acupunctural stimulation of the pudendal nerve was clinically useful for treatment of urinary disturbances, such as uncoordination of the detrusor muscles in neurogenic bladder and urinary incontinence.