絞扼性イレウス手術後に生じ,急速な増大をきたした医原性上腸間膜動静脈瘻の1例

• 土師 誠二

  県立姫路循環器病センター外科

• 中本 光春

  県立姫路循環器病センター外科

• 杉原 順一

  加古川市民病院

書誌事項

タイトル別名

• A CASE OF IATROGENIC SUPERIOR MESENTERIC ARTERIOVENOUS FISTULA DEVELOPED RAPIDLY AFTER SMALL BOWEL RESECTION FOR STRANGULATED ILEUS

抄録

Iatrogenic superior mesenteric arteriovenous fistulas (AVF) after gastrointestinal surgery are rare, especially in Japan, with only 28 cases being documented. We report a case of iatrogenic superior mesenteric AVF, which developed rapidly and detected at 26th day after a resection of small intestine for strangulated ileus. A 39-year-old man was emergently transfered to the hospital for strangulated ileus and underwent on excision of the necrosed small intestine. After the operation, abdominal pain and diarrhea persisted and a pul-sative tumor and continuous murmur in the middle abdominal part were confirmed on 26th postoperative day. Abdominal CT and angiography revealed a superior mesenteric AVF and a pseudoaneurysm. Successful resection of those were performed. The cause of AVF was considered to be related to the mass ligation of the mesenteric vessels in the primary operation. Postoperative course was uneventful.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 60 (10), 2751-2755, 1999

  日本臨床外科学会

キーワード

• 医原性
• 上腸間膜動静脈瘻
• 集束結紮

詳細情報

• CRID: 1390001204847158656
• NII論文ID: 130003601135
• NII論文ID: 10008497931
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.2751
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/10/60_10_2751/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000087466
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
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