下行結腸切除術後に発症した急性結腸偽閉塞症の1例

• 深田 代造

  岐阜大学第2外科

• 川越 肇

  山内ホスピタル外科

• 木田 恒

  山内ホスピタル外科

• 坂田 一記

  山内ホスピタル外科

書誌事項

タイトル別名

• A CASE OF ACUTE COLONIC PSEUDO-OBSTRUCTION FOLLOWING PARTIAL DESCENDING COLECTOMY FOR COLONIC CANCER

抄録

Acute colonic pseudo-obstruction (ACP) is characterized by prominent gaseous colonic dilatation without organic lesions.<br> This syndrome should be treated carefully because it resembles paralytic ileus but is far different from the latter in etiology and clinical course. We report a case of ACP in a 61-year-old man who had past history of left nephrectomy 20 years ago and underwent partial descending colectomy for colonic cancer. His early postoperative course was uneventful, but mild abdominal distention and gaseous colonic dilatation developed about 10 days after the operation. When nasogastric suction therapy failed to dissolve the progression of the abdominal distention and colonic gaseous dilatation, cecostomy was performed on day 22. Prompt improvement was observed after cecostomy, and a contrast study of the entire colon via the cecostomy revealed no evidence of mechanical obstruction, including adhesions, colonic torsion or anastomotic failure.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 56 (7), 1402-1406, 1995

  日本臨床外科学会

キーワード

• 腸閉塞症
• 急性結腸偽閉塞症
• 術後合併症

詳細情報

• CRID: 1390001205314543488
• NII論文ID: 130003599697
• NII論文ID: 10008514491
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.56.1402
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/7/56_7_1402/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996027141
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可