術前診断した残胃胃石による小腸イレウスの１例

DOI Web Site 被引用文献3件 参考文献19件

書誌事項

タイトル別名
  • A CASE OF SMALL BOWEL OBSTRUCTION DUE TO BEZOAR OF THE GASTRIC REMNANT DIAGNOSED PREOPERATIVELY

この論文をさがす

抄録

Small bowel obstruction with bezoars in a gastrectomized patient is rare. We report an operated case of this disease successfully diagnosed preoperatively.<br>A 51-year-old woman, who had undergone a gastrectomy and Billroth I reconstruction for gastric cancer, was admitted to the hospital as an emergency case with a diagnosis of intestinal obstruction. She had eater several persimmon fruits a week before the onset of these symptoms. After admission an intestinal fluoroscopy revealed a defective shadow in the jejunum due to a mass. Abdominal ultrasonography and CT scan showed the mass containing large quantifies of air component. A diagnosis of ileus due to a bezoar was made and conservative therapy expecting spontaneous discharge was attempted. However, these symptoms persisted even on the 13th day after the therapy, and the patient was operated on. During surgery, an egg sized foreign body which was impacted in the jejunum about 50 cm distal from the Treitz's ligament was removed through an enterotomy. An analysis of the bezoar revealed that 98% of it was composed of tannin acid, and persimmon bezoar was diagnosed. The postoperative course was uneventful and the patient was discharged from the hospital on the 8th postoperative day.

収録刊行物

被引用文献 (3)*注記

もっと見る

参考文献 (19)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ