虚血性小腸炎による小腸狭窄の1例 ISCHMIC ENTERITIS CAUSING A SMALL BOWEL STENOSIS : REPORT OF A CASE

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症例は71歳の男性で,突然の腹痛と嘔気嘔吐にて発症し入院時に急性虫垂炎を疑われたが,保存的に軽快した.しかし,経口摂取による症状の増悪をくり返したため,小腸造影を施行したところ,遠位回腸に限局性の狭窄を認め,入院後60日目に開腹手術を行った.<br> 手術所見で,回盲弁より約40cmの回腸に壁の肥厚を伴った約8cmにわたる狭窄を認め,小腸部分切除術を施行した.術後の病理組織学的検査では強い線維化を伴うUL-I~IIの潰瘍とヘモジデリンを貧食したマクロファージを認め虚血性小腸炎と診断された.<br> 虚血性腸炎が小腸に発生することは少なく,また狭窄を生じることは稀とされている.狭窄型の虚血性小腸炎の1切除例を経験したので,最近の文献的考察を加えて報告する.

A 71-year-old man was admitted to the hospital because of sudden onset of pain and vomiting. On admission acute appendicitis was suspected. His symptoms disappeared by the conservative treatment, however, abdominal pain and vomiting recurred repeatedly when the patient began oral intake. Contrast X-ray examination of the small intestine showed a segmental stenosis in the ileum, but the origin was not identified. On the 60th hospital day laparotomy was performed and the involved ileal segment was resected. The resected specimen showed an 8 cm long stenotic area with fibrosis and ulcer. By histological examination, the lesion was composed mainly of prominent fibrosis, UL-Ii ulcers and macrophages devouring hemosiderin and was diagnosed as ischemic enteritis. It has been reported that ischemic enteritis scarecely arises in the small intestine, especially it causes a stenosis. This paper describes a case of ischemic enteritis causing small bowel stenosis with a review of the literature.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 57(9), 2227-2231, 1996-09-25

    Japan Surgical Association

参考文献:  12件中 1-12件 を表示

被引用文献:  6件中 1-6件 を表示

各種コード

  • NII論文ID(NAID)
    10008524188
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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