術前に診断し得た回腸脂肪腫による成人腸重積症の1例 A CASE OF ADULT INTUSSUSCEPTION CAUSED BY LIPOMAS DIAGNOSED PREOPERATIVELY

この論文にアクセスする

この論文をさがす

著者

抄録

症例は45歳女性.悪心,右下腹部痛を主訴に来院.来院時右下腹部に手拳大の腫瘤を触知したため,腹部CT検査を施行され,脂肪腫による腸重積症が疑われた.高圧浣腸にて整復されなかったため,開腹手術を施行し,回腸末端脂肪腫による腸重積が確認された.成人腸重積症は特有症状に乏しく,長期経過をたどる例も多いが,診断にはCT検査が有用であり,早期診断が期待できる.

A case of adult intussusception caused by lipomas is reported. A 45-year-old woman was admitted to the hospital because of a right lower abdominal pain and nausea. A fist-sized tumor was palpated in the right lower abdomen. Abdominal CT demonstrated a target like appearance and two round fat-density areas in the ascending colon. Intussusception due to lipomas was suspected. High enema was ineffective and a laparotomy was performed. During surgery, the intussusception due to tumors of the ileum end was identified. Histopathological examination indicated that the tumors were benign lipoma. Adult intussusception lacks specific symptoms and the clinical course is often prolonged. CT scan is useful to visualize lipomas of the intestine causing intussusception that will contribute to make the early diagnosis of this condition.

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 58(8), 1803-1807, 1997-08-25

    Japan Surgical Association

参考文献:  12件中 1-12件 を表示

被引用文献:  8件中 1-8件 を表示

各種コード

  • NII論文ID(NAID)
    10008529518
  • 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 
ページトップへ