軽微な交通外傷が発症の契機になったと考えられた脾および膵仮性嚢胞の1例 A CASE OF SPLENIC AND PANCREATIC PSEUDOCYSTS DUE TO A TRAFFIC ACCIDENT

この論文にアクセスする

この論文をさがす

著者

抄録

症例は51歳,男性.シートベルトを着用して低速で乗用車を運転中,前方を走行中の他車に追突した.約1カ月後より左季肋骨から背部にかけての鈍痛を自覚,次第に増強し当院を受診,入院となった.腹部超音波検査では,脾下極および膵尾部に各々径約6cm,約2cmでいずれも内部が均一な低エコーの腫瘤が認められた.ERPでは膵尾部に直径約2cmの造影剤貯留が認められた.さらにCT,MRI検査などにより,脾および膵嚢胞と診断した.膵尾部切除および脾摘術を施行した.病理組織検査では脾および膵の嚢胞はいずれも仮性嚢胞でヘモジデリンの沈着があり,出血が示唆された.仮性嚢胞の発症に外傷が重要な役割を担うとされており,本例は追突時のシートベルトによる圧迫が発症原因と推測され,軽微な事故であっても経過観察上,注意を要すると考えられた.

A 51-year-old man had bumped into the rear of a car when he was driving his car at a low speed wearing a seat belt. About one month later, the patient felt dull pain from the left hypochondrium to back, and he was admitted to the hospital because of gradual aggravation of the pain. Abdominal ultrasonography revealed hypoechoic tumors, about 6 cm and 2 cm in diameter, with homogenous center at the lower pole of the spleen and pancreatic tail, respectively. Endoscopic retrograde pancreatography (ERP) revealed a retention of contrast mediun with the diameter of about 2 cm in the pancreatic tail. With further CT scan and magnetic resonance imaging, splenic and pancreatic cysts were diagnosed. Resection of the pancreatic tail and a splenectomy were performed. Histopathologically, both splenic and pancreatic cysts were pseudocyst with deposits of hemosiderin, indicating hemorrhage. It is thought that trauma plays an important role in etiology of pseudocysts. In this case, it is inferred that compression due to the seat belt at the bumping might cause the disease. Care must be exercised for the possibility in observation of clinical course of the patient even after slight accident.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 60(12), 3312-3316, 1999-12-25

    日本臨床外科学会

参考文献:  17件中 1-17件 を表示

被引用文献:  2件中 1-2件 を表示

各種コード

  • NII論文ID(NAID)
    10008499419
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
ページトップへ