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ID 110273
タイトルヨミ
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
タイトル別表記
Two cases of abdominal emergencies in patients of advanced age over ninety
著者
福山, 充俊 高松市民病院外科
黒田, 武志 高松市民病院外科
木下, 貴史 高松市民病院外科
井内, 正裕 高松市民病院外科
福田, 洋 高松市民病院外科
青木, 克哲 高松市民病院外科
小笠原, 邦夫 高松市民病院外科
キーワード
abdominal emergency
aged patient
資料タイプ
学術雑誌論文
抄録
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.
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
65
1-2
開始ページ
34
終了ページ
38
並び順
34
発行日
2009-04-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版