成人にみられた原発性小腸軸捻転症の１例

• 本田 晴康

  健和会病院外科

• 津澤 豊一

  健和会病院外科

• 川田 崇雄

  健和会病院外科

• 熊谷 嘉隆

  健和会病院外科

書誌事項

タイトル別名

• A CASE OF PRIMARY SMALL BOWEL VOLVULUS IN AN ADULT

抄録

A 32-year-old man admitted for sudden onset of severe upper abdominal pain and vomiting before dinner was found to have severe tenderness of the upper abdomen with peritoneal signs. Plain X-ray of the abdomen showed multiple air-fluid levels in the dilated small intestine and abdominal computed tomography (CT) showed a “whirl sign” in the small intestine loops around the superior mesenteric artery. Emergency surgery conducted 4.5 hours after onset on a diagnosis of strangulated small bowel obstruction revealed strangulation of the small intestine caused by 360° clockwise mesenteroaxic torsion. The blood flow recovered quickly after detortion, eliminating the need for intestinal resection. Due to the absence of predisposing anatomical abnormalities, the patient was diagnosed with primary small bowel volvulus. He suffered bowel obstruction due to adhesion 2 months after the first operation and was treated conservatively for 10 days. Only 46 cases of primary small bowel volvulus, including ours, have been reported in Japan. Abdominal CT is thus useful in early diagnosis.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 65 (1), 112-116, 2004

  日本臨床外科学会

キーワード

• 原発性小腸軸捻転症

詳細情報

• CRID: 1390001204844288512
• NII論文ID: 130003603789
• NII論文ID: 10012698572
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.112
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/1/65_1_112/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004147160
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可