イレウス管が誘因と考えられる術後腸重積症の２例

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  • Two Cases of Postoperative Intussusception Following Removal of Long Intestinal Tube.

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Two cases of postoperative intussusception secondary to long intestinal tubes are reported. A 80-year-old male and a 46-year-old female were admitted to our hospital because of adhesive small-bowel obstruction. Long intestinal tubes were inserted, but copious drainage continued, and so laparotomy were performed. After lysis of adhesions, intestinal tubes were remained in the jejunum in both patients. After withdrawal of the tubes, the patients began vomiting, and ultrasonography and CT scan of the abdomen demonstrated intussuscepted bowel. At the second surgery, antegrade jejunojejunal intussusceptions were found and reduced in both patients. It is supposed that the small bowel was telescoped over a long intestinal tube, and pleats were formed, fixed by adhesions and may have acted as a lead point for intussusception. In using a long intestinal tube, the possibility of intussusception must be considered, even after tube withdrawal.

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