高圧酸素療法が有用であったOgilvie症候群の1例 A CASE OF OGILVIE'S SYNDROME SUCCESSFULLY TREATED WITH HYPERBARIC OXYGEN THERAPY

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Ogilvie症候群は器質的狭窄を認めない急性結腸偽閉塞症であり,その治療法は保存的治療が第一選択とされる.今回,高圧酸素療法が有効であったOgilvie症候群の1例を経験したので報告する.症例は69歳,女性.既往歴に29歳時巣摘出術を施行され, 60歳時心房中隔欠損症, Eisenmenger症候群を指摘された.平成8年5月腹痛,腹部膨満を主訴に来院し腹部X線上結腸の著明なガス像を認め,腹部CTにて左閉鎖孔ヘルニア嵌頓と診断し緊急手術を施行した.開腹すると左閉鎖孔にヘルニア嚢を認めたものの,腸管の嵌入や嵌頓はなく,著明な結腸の拡張のみを認めた.以上よりOgilvie症候群と診断した.術後4日目より高圧酸素療法を施行し術後8日目には自他覚的に腹部膨満の改善を来たした.高圧酸素療法は本症候群の有効な治療法の1つと考えられた.

Ogilvie's syndrome is acute colonic pseudoobstruction without organic stricture. It is believed that conservative therapy is the first choice. This time, a case of Ogilvie's syndrome for which hyperbaric oxygen therapy was useful is reported. A 69-year-old woman was seen at the hospital because of abdominal pain and abdominal distention in May, 1996. She had previous histories of undergoing oophorectomy at 29 years old and being pointed out atrial septal defect and Eisenmenger syndrome at 60 years old and undergoing operation of left obturator hernia at 65 years old. Abdominal X-ray film demonstrated prominent gaseous distention of the colon. With an abdominal CT scan, left incarcerated obturator hernia was diagnosed and an emergency operation was performed. At laparotomy, although a hernia sac was confirmed in the left obturator foramen, no incarceration of the intestine was revealed and only remarkable dilation of the colon was present. From these findings, the definite diagnosis of Ogilvie's syndrome was made. Hyperbaric oxygen therapy was started on the 4th postoperative day, and remissions in both subjective and objective abdominal distention were attained. Hyperbaric oxygen therapy is thought to be an effective therapy for Ogilvie's syndrome.

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 61(8), 2128-2132, 2000-08-25

    Japan Surgical Association

参考文献:  26件中 1-26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)
    10008503672
  • 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 
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