A CASE OF PERFORATED DIVERTICULUM OF THE TRANSVERSE COLON
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- OKU Kunihiko
- Department of Surgery, Municipal Ikeda Hospital
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- YOKOYAMA Shigekazu
- Department of Surgery, Municipal Ikeda Hospital
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- FUKUSHIMA Sachio
- Department of Surgery, Municipal Ikeda Hospital
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- ODA Kazuyuki
- Department of Surgery, Municipal Ikeda Hospital
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- SHIBATA Kunitaka
- Department of Surgery, Municipal Ikeda Hospital
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- MATSUDA Yasuki
- Department of Surgery, Municipal Ikeda Hospital
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- OTA Toshiyuki
- Department of Surgery, Municipal Ikeda Hospital
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- SHIMANO Takashi
- Department of Surgery, Municipal Ikeda Hospital
Bibliographic Information
- Other Title
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- 横行結腸憩室穿孔の1例
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Abstract
A rare case of perforated diverticulum of the transverse colon was experienced. Perforated diverticulum of the transverse colon presented difficulty in diagnosis preoperatively, because it can produce abdominal pains in every area of the abdomen; has no characteristic clinical findings; and our clinical surgeons pay less attention to the existence of the disease as a probable differential diagnosis due to its low frequency. Our case involved an 81-year-old woman complaining of a lower abdominal pain and abdominal disention. Peritoneal signs were minimal and we had difficulty in diagnosis. With barium enema study due to gastrographin, intestinal leakage of contrast medium at the left-sided transverse colon was suspected. Abdominal CT also visualized a pool of the medium out of the intestine. An emergency operation was performed with a diagnosis of perforated transverse colon. Histopathological diagnosis of perforation of the pseudodiverticulum was made.<br> We see 30 reported cases of the disease in the English and none in the Japanese literature as far as we could review. Their clinical features and the diagnosis and treatment of the disease are also discussed in this paper.
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 57 (3), 649-652, 1996
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282680291867904
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- NII Article ID
- 130003432117
- 10008519908
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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