直腸癌術後に発生し腸閉塞をきたした腸間膜脂肪織炎の1例

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  • A CASE OF MESENTERIC PANNICULITIS WITH INTESTINAL OBSTRUCTION AFTER AN OPERATION FOR RECTAL CANCER

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Mesenteric panniculitis is a rare disease characterized by nonspecific inflammation of the mesenterium. We report a case of mesenteric panniculitis with intestinal obstruction after an operation for rectal cancer. A 60-year-old man with rectal cancer underwent Miles' operation. He complained of a full sensation in the abdomen and.vomiting from the fourth postoperative day, and was treated conservatively as a case of postoperative adhesive ileus. However, his complaints did not improve and another operation was performed on the 16th postoperative day. A length of jejunum about 70cm long forming an adhesive mass at 20cm anal to Treitz' ligament toward the retroperitoneum was resected. It was found that the mesenterium had become markedly thick and sclerous. In spite of operative treatment, the intestinal stenosis continued and steroid hormone medication was prescribed. In this case of marked intestinal stenosis, it was necessary to perform intestinal resection to shorten the hospitalization, but basically mesenteric panniculitis is benign and should be treated conservatively.

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