ID 109734
Title Transcription
イレウスカン ノ カンリ ニ チュウモク シタ カキイセキ ニヨル ショクジセイ イレウス ノ 1レイ
Title Alternative
A case report of intestinal diospyrobezoar obstruction
Author
Yoshida, Takahiro Department of Surgery, National Hospital Organization, Higashi Tokushima Medical Center Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Honda, Junko Department of Surgery, National Hospital Organization, Higashi Tokushima Medical Center
Saito, Seiya Department of Surgery, National Hospital Organization, Higashi Tokushima Medical Center
Sumi, Takanao Department of Surgery, National Hospital Organization, Higashi Tokushima Medical Center
Kishi, Kazuhiro Department of Gastroenterology, National Hospital Organization, Higashi Tokushima Medical Center
Hirose, Chieko Department of Radiology, National Hospital Organization, Higashi Tokushima Medical Center
Keywords
food-induced intestinal obstruction
ileus
diospyrobezoar
Content Type
Journal Article
Description
Intestinal food-induced obstruction is a rare disease. Diospyrobezoar is one of the main causes. The structure has characteristic CT findings of clear wedge and internal cavernous low density area. Diospyrobezoar sometimes exist with other stones. A 60s-year-old man with abdominal pain and vomiting was introduced to our hospital. CT scan showed the dilated small intestine and two round structures with 3.5cm and 2.5cm in minor axis in the ileum. The patient had been having dried persimmons habitually in this season without artificial teeth. Based on these findings, intestinal diospyrobezoar obstruction was diagnosed. Depressurization by a balloon-tipped long tube was performed prior to surgery. The long tube and 2 structures in the intestine were detected under the laparoscopic examination, and the small intestine at 30cm oral side from two structures was pulled-out through the umbilical incision. Another stone was led to the other one to the oral side manually and a longitudinal incision was made on the anal side of the stones. Not only 2 stones that were identified preoperatively but also 4 small stones were removed. Surgery should be needed to treat diospyrobezoar ileus with a 3.0cm stone in minor axis, and it is essential to consider multiple stones.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
69
Issue
5-6
Start Page
257
End Page
262
Sort Key
257
Published Date
2013-12-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital