Browsing by Author "Imamura, Ichiro"
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Publication Subgaleal Hematoma Without Obvious Cause in a Child: A Case Report(Perinatal Society of Nepal (PESON), 2024) Taniguchi, Kazuto; Imamura, IchiroAbstract: Subgaleal hematoma in children beyond the neonatal period is generally caused by external factors, such as head trauma, or internal factors, such as coagulation disorders. Occurrence without an obvious cause is uncommon. A 5-year-old girl presented with swelling in the left parietal region. Computed tomography revealed a subgaleal hematoma, which spontaneously disappeared within 28 days. This report describes a rare case of subgaleal hematoma without an obvious cause in a child beyond the neonatal period that resolved without invasive treatments like needle aspiration, drainage, and surgery. Clinicians should consider conservative treatment as an alternative to invasive procedures in such cases.Publication Sufficiency of Nonenhanced Computed Tomography for the Diagnosis of Acute Appendicitis: A case Report(Nepal Paediatric Society (JNPS), 2024) Kazuto, Taniguchi; Imamura, IchiroAbstract: Acute appendicitis is an emergency disease that exhibits its highest incidence in adolescents. While contrast-enhanced computed tomography (CT) is frequently utilized for rapid diagnosis of acute appendicitis, the ability of nonenhanced CT is not well established. Herein we report two cases of adolescents who were successfully diagnosed with acute appendicitis by nonenhanced CT. Ultrasonography was unable to detect the appendix in both cases. Regarding imaging strategy, nonenhanced CT can be sufficient for detection of acute appendicitis, and ultrasonography is not always required. Immediate examination by nonenhanced CT before ultrasonography can be sufficient for rapid diagnosis of acute appendicitis.