ACUTE ABDOMEN IN PATIENTS UNDERGOING CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)-REPORT OF TWO CASES-
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- TAKENOUCHI Yasushi
- Departments of Surgery, Anjo Kosei Hospital
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- ODA Koji
- Departments of Surgery, Anjo Kosei Hospital
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- KANDA Hiroshi
- Departments of Surgery, Anjo Kosei Hospital
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- IKEYAMA Takashi
- Departments of Surgery, Anjo Kosei Hospital
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- KOBAYASHI Naomi
- Departments of Surgery, Anjo Kosei Hospital
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- YAMAMOTO Tatsuyoshi
- Departments of Surgery, Anjo Kosei Hospital
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- SAKABE Tomoyo
- Departments of Surgery, Anjo Kosei Hospital
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- KAMIYA Satoaki
- Departments of Surgery, Anjo Kosei Hospital
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- YOKOI Syunpei
- Departments of Surgery, Anjo Kosei Hospital
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- NIINOMI Noriji
- Departments of Surgery, Anjo Kosei Hospital
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- SUZUKI Masayasu
- Departments of Surgery, Anjo Kosei Hospital
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- KURATA Hisashi
- Departments of Internal Medicine, Anjo Kosei Hospital
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- TAMAI Hirohumi
- Departments of Internal Medicine, Anjo Kosei Hospital
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- HAYAKAWA Seijun
- 安城更生病院病理科
Bibliographic Information
- Other Title
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- 連続携行式腹膜透析 (CAPD) 中に発生した急性腹膜炎の2例
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Abstract
Two cases of acute abdomen in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) are reported.<br> Case 1: A 48-year-old man complained of an abdominal pain followed by a cloudy dialysate return. With a clinical and ultrasonographic diagnosis of appendiceal abscess, an appendectomy and drainage of the abscess were performed.<br> Case 2: A 63-year-old man presented with an abdominal pain and a melena. The dialysate return was cloudy, in which S. epidermidis was isolated. Colonoscopy showed longitudinal ulcers in the splenic flexure and a diagnosis of ischemic colitis was made. Neither clinical nor radiographic finding was diagnostic of the perforation, and the patient was treated conservatively. He died of a sudden septic shock on the 11th hospital day. The autopsy revealed perforated ischemic coloitis.<br> Diagnosis of acute peritonitis due to perforation is difficult in patients on CAPD due to the daily peritoneal lavage. Our experience suggests that early surgical treatment is necessary when perforation is possibly suspicious.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 56 (12), 2716-2720, 1995
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282680291849088
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- NII Article ID
- 130003432038
- 10008517786
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed