直近一年間の累計
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ダウンロード数 : ?
ID 97919
タイトルヨミ
チョウ コウレイシャ ニ ハッセイ シタ トクハツセイ タハツ チョウジュウセキ ト カンガエラレタ イチレイ
タイトル別表記
A case of idiopathic multiple intestinal invagination in an oldest-old person
著者
尾方, 信也 健康保険鳴門病院外科
石川, 大地 健康保険鳴門病院外科
田上, 誉史 健康保険鳴門病院外科
片川, 雅友 健康保険鳴門病院外科
坂東, 儀昭 健康保険鳴門病院外科
キーワード
idiopathic intestinal invagination
operation
資料タイプ
学術雑誌論文
抄録
A 94-year-old woman visited our hospital with chief complaints of abdominal pain, nausea, and vomiting by way of her local clinic. Abdominal MDCT revealed a target sign of the small intestine, and its frontal section showed invagination of the oral intestinal tract into the anal intestinal tract, which led to a diagnosis of adult small intestinal intussusception. The abdominal symptom was minor, and no ischemic and necrotic manifestations of the intestinal tract were observed. Conservative treatment was considered. However the patient was oldest-old with dementia, and her consent to the long-term conservative treatment seemed unlikely to be obtained, as well as the small intestine had intussusception extending more than at least10cm, and its natural reduction was judged to be difficult. Therefore an urgent operation was selected. Two places in the small intestine showed intussusceptions, which could be relatively easily reduced. Because the entire intestinal tract had no abnormalities such as mass and necrotic lesions, the intestine was not resected. Postoperatively, the patient had dementia symptoms such as wandering and abnormal behavior, but her postoperative course was good, leading to hospital discharge on the seventh postoperative day. We report the case of idiopathic multiple intestinal invagination that has never been reported in the past, with some literature review.
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
68
1-2
開始ページ
59
終了ページ
62
並び順
59
発行日
2012-04-25
備考
フルテキストファイル
言語
jpn
部局
病院