ID | 110325 |
タイトルヨミ | 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
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タイトル別表記 | A case of the small bowel obstruction resected by laparoscopy assisted surgery during the treatment of Hodgkin’s lymphoma
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著者 |
本田, 純子
国立病院機構東徳島病院外科
宇山, 攻
国立病院機構東徳島病院外科
須見, 高尚
国立病院機構東徳島病院外科
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キーワード | small bowel obstruction
laparoscopy
lymphoma
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資料タイプ |
学術雑誌論文
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抄録 | 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.
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掲載誌名 |
四国医学雑誌
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ISSN | 00373699
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cat書誌ID | AN00102041
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出版者 | 徳島医学会
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巻 | 66
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号 | 3-4
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開始ページ | 111
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終了ページ | 116
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並び順 | 111
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発行日 | 2010-08-25
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フルテキストファイル | |
言語 |
jpn
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著者版フラグ |
出版社版
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部局 |
病院
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