書誌事項
- タイトル別名
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- A Case of Hepatic Portal Venous Gas by Ileus without Bowel Necrosis.
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A 59-year-old woman visited the hospital because of sudden vomiting. Abdominal tenderness and rebound tenderness were noted, but muscular rigidity was lacking. Abdominal computed tomography showed massive hepatic portal venous gas in the left lobe of the liver. Emergency laparotomy showed no necrotic bowel. The ileum was descolored purple but improved to normal color. The ileum was not resected, and the patient was discharged on day 28 after surgery. We diagnosed this case as transient ileal lesion without definitive diagnosis.<br> Hepatic portal venous gas is a complication commonly observed in bowel necrosis and indicates prognosis. Emergency surgery is usually necessary. In cases without bowel necrosis such as ours, patients with hepatic portal venous gas do not always need surgery. However, if possibility of bowel necrosis cannot be ruled out, laparotomy should be performed.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 62 (12), 3008-3011, 2001
日本臨床外科学会
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詳細情報
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- CRID
- 1390282679820109312
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- NII論文ID
- 130003602309
- 10008392315
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可