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
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
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
キーワード
small bowel obstruction
laparoscopy
lymphoma
資料タイプ
学術雑誌論文
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
66
3-4
開始ページ
111
終了ページ
116
並び順
111
発行日
2010-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
病院