ID 110273
Title Transcription
90サイダイ チョウコウレイシャ ニ タイシテ フクブ キンキュウ シュジュツ オ シコウシタ 2レイ
Title Alternative
Two cases of abdominal emergencies in patients of advanced age over ninety
Author
Fukuyama, Mitsutoshi Department of Surgery, Takamatsu Municipal Hospital
Kuroda, Takeshi Department of Surgery, Takamatsu Municipal Hospital
Kinoshita, Takafumi Department of Surgery, Takamatsu Municipal Hospital
Iuchi, Masahiro Department of Surgery, Takamatsu Municipal Hospital
Fukuda, Yoh Department of Surgery, Takamatsu Municipal Hospital
Aoki, Yoshinori Department of Surgery, Takamatsu Municipal Hospital
Ogasahara, Kunio Department of Surgery, Takamatsu Municipal Hospital
Keywords
abdominal emergency
aged patient
Content Type
Journal Article
Description
We report two cases of abdominal emergencies in patients of advanced age over ninety. Case 1 : A 98-year-old woman was referred to our hospital because of abdominal pain. Abdominal CT examination revealed air fluid level and bowel dilatation. Conservative therapy was started with a long decompression tube insertion. However, no symptomatic remission was attained. An emergency laparotomy was performed. At laparotomy, a strangulated intestinal ileus due to an adherent band of omentum was found. The ileus was treated by excision of the band. The patient’s postoperative course was uneventful. Case 2 : A 94-year-old man was referred to our hospital because of abdominal pain. Chest X-ray film showed free air under the right diaphragm. Perforation of digestive tract was suspected and an emergency laparotomy was done. Perforation of a gastric ulcer was found and closure of the hole with omentopexy was done. Postoperative pathohistological examination revealed a gastric cancer. However, the patient and his family rejected operation. The patient was discharged from the hospital59days postoperatively.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
65
Issue
1-2
Start Page
34
End Page
38
Sort Key
34
Published Date
2009-04-25
FullText File
language
jpn
TextVersion
Publisher