Undergoing chromosome analysis and receiving the results may have various psychosocial effects. To identify the impact on balanced translocation carriers identified through affected offspring, we conducted semi-structured interviews with eleven parents at Saitama Children's Medical Center. The results of the interviews were analyzed qualitatively by the KJ (Kawakita Jiro) method. Categories and subcategories of the various thoughts, emotions and responses experienced by balanced chromosomal translocation carriers were extracted. Participants' reactions were mixed, and appeared to be interrelated in some cases. Parents' reactions were sometimes ambivalent with regard to effects on reproductive issues and disclosure of test results. We recommend genetic counseling before and after carrier testing to help parents cope with the mixed and complex thoughts and feelings that arise upon being identified as a carrier.
Inflammatory fibroid polyp (IFP) usually appears as a solitary benign lesion, rarely located in the ileum. The clinical presentation varies according to its location, frequently they are mistaken as gastrointestinal (GI) neoplasia. Intussusception and obstruction are the most frequent initial symptoms when the polyp is located in the small intestine. A thirty nine years old man presented with upper abdominal pain. Though he prescribed anti biotic medicine, his intermittent pain continued. He presented to hospital two days later, and abdominal ultrasound (US) detected intestinal intussusception. Abdominal computed tomography (CT) and oral ileal barium study also revealed ileal mass. So he had partial ilectomy on the seventh hospital day. Pathology showed it IFP in small intestine. Intussusception secondary to IFPs of the small intestine is difficult to diagnose without recognition of its clinical and pathological characteristics. Abdominal US is useful in confirming an anatomical abnormality, histological examination establishes the final diagnosis of IFPs. Abdominal US detected an intussusception with a mass lesion at its lead point.
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