ID 110325
Title Transcription
ホジキン リンパシュ ノ チリョウチュウ ニ ハッショウ シタ チョウヘイソク ニ フククウキョウ ホジョカ カイジョジュツ オ シコウ シタ 1レイ
Title Alternative
A case of the small bowel obstruction resected by laparoscopy assisted surgery during the treatment of Hodgkin’s lymphoma
Author
Honda, Junko Department of Surgery, Higashi Tokushima National Hospital
Uyama, Kou Department of Surgery, Higashi Tokushima National Hospital
Sumi, Takanao Department of Surgery, Higashi Tokushima National Hospital
Keywords
small bowel obstruction
laparoscopy
lymphoma
Content Type
Journal Article
Description
A 40-year-old woman with stage4B Hodgkin’ s lymphoma(HL)developed small bowel obstruction during chemotherapy. The tip of long tube reached the part of stenosis and radiology and abdominal CT scan revealed a beak-like stenosis. An incarcerated internal hernia associated with strangulation or a simple adhesive intestinal obstruction was suspected and laparoscopic surgery was performed. The laparoscopic findings showed adhesion and traction of the contralateral side of mesenterium and strangulation which also intricately banded the collapsed loops of the ileum. The resected tissues showed a fibrotic stenosis of the small bowel and the greater omentum with infiltration of HL. This severe stenosis could finally be recognized by extracorporeal examination through a minor laparotomy. Laparoscopic surgery was useful procedure to observe the site of obstruction and transect complex strangulations, however more ingenuity of surgical procedure and more careful observation are essential to reliably achieve laparoscopic surgery for the small bowel obstruction.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
111
End Page
116
Sort Key
111
Published Date
2010-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital