腸閉塞症状を呈した仮性腸間膜嚢胞の１例

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  • A Case of Mesenteric Pseudocyst with Ileus.

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A 66-year-old man had undergone a total gastrectomy in 1991 was admitted to our hospital for a bowel obstruction in 1988. No findings suggesting a mesenteric pseudocyst were observed at that time. He was refered to our hospital because of a sudden abdominal pain and vomiting after breakfast on July 9, 2000. Ultrasonography and a CT scan demonstrated a cystic lesion 55 mm in diameter in the mesenterium and a dilatation of the jejunum and duodenum as well as a swollen gallbladder.<br> An upper gastrointestinal series showed bowel stenosis at the Roux-en-Y anastomosis as a result of the tumor. A laparotomy was performed, and a cyst with chylous fluid was identified near the Roux-en-Y anastomosis. The patient has been well without recurrence after the resection of the cystic lesion and the jejunum. No signs of recurrence have been noticed to date. A pathological examination revealed that the cystic lesion was a pseudocyst.

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