A CASE OF SMALL INTESTINAL NECROSIS ASSOCIATED WITH POTAL VENOUS GASS

• MORIKAGE Noriyasu

  First Department of Surgery, Yamaguchi University School of Medicine

• MORITA Nobuyoshi

  First Department of Surgery, Yamaguchi University School of Medicine

• ESATO Kensuke

  First Department of Surgery, Yamaguchi University School of Medicine

• MORITA Tomoaki

  Department of Surgery, Kouseiren Syuto General Hospital

• MATSUI Norichika

  First Department of Surgery, Yamaguchi University School of Medicine

• NAKAMURA Takeshi

  First Department of Surgery, Yamaguchi University School of Medicine

• KANEYUKI Toshihiro

  First Department of Surgery, Yamaguchi University School of Medicine

Bibliographic Information

Other Title

• 門脈ガス血症を呈した腹部所見に乏しい腸管壊死の1例

Abstract

We experienced a caseof intestinal necrosis which lacked remarkable abdominal symptoms and occurred during the postoperative course for gastric cancer. A 48-year-old man was diagnosed as having a Borrmann type II gastric cancer in the upper body on the greater curvature of the stomach. He underwent total gastrectomy, resection of the pancreatic tail and splenectomy. Postoperatively, the patient fell into anxiety neurosis and ingestion difficulty so that his hospital stay was prolonged. He complained of a slight abdominal pain and fell into shock on postoperative day 54. There was only a slight tenderness in the right lower abdomen. The abdominal echogram showed many high echoic spots in the right lobe of the liver, which were presumed to be air. Potal Venous Gass was diagnosed. He underwent exploratory laparotomy. The ileum was necrotized by about 2.5m proximal to the ileum end and a 15cm segment of the ileum was resected. Its histopathologic finding demonstratd ischemic enteritis.

Journal

• The journal of the Japanese Practical Surgeon Society

  The journal of the Japanese Practical Surgeon Society 57 (4), 904-907, 1996

  Japan Surgical Association

Keywords

• potal venous gass

Details

• CRID: 1390282680292818688
• NII Article ID: 130003599997
• NII Article ID: 10008520597
• NII Book ID: AN00198696
• DOI: 10.3919/ringe1963.57.904
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/4/57_4_904/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996224043
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed