成人特発性気腹症の１例

• 川口 正春

  静岡市立清水病院外科

• 黒田 浩章

  静岡市立清水病院外科

• 福本 和彦

  静岡市立清水病院外科

• 谷口 正美

  静岡市立清水病院外科

• 山崎 将典

  静岡市立清水病院外科

• 松田 巌

  静岡市立清水病院外科

書誌事項

タイトル別名

• A CASE OF SPONTANEOUS PNEUMOPERITONEUM IN AN ADULT

抄録

We report a case of spontaneous pneumoperitoneum, which is a relatively rare entity, in an adult.<br>A 78-year-old woman with a previous history of undergoing surgery for a dissecting aneurysm of the aortic arch in 1996 developed abdominal pain after defecation on October 30, 2002. Then the abdominal pain subsided, but abdominal distention persisted and nausea appeared, so that she was seen at the emergency clinic in our hospital on November 1. When she was first seen, abdominal pain and tenderness were present over the abdomen, but no rebound tenderness and muscle guarding were present. On hematological study, accelerated inflammatory reaction and anemia were noted. Imaging studies revealed intraabdominal free air and retension of ascites. From these findings the patient was operated on with a diagnosis of gastrointestinal perforation and peritonitis. Surgical exploration disclosed no apparent causative findings such as perforated portion. Spontaneous pneumoperitoneum was thus diagnosed, and the operation was terminated after placement of a drain. The patient's postoperative course was uneventful and she was discharged from the hospital on the 29^th postoperative day. Postoperative close exploration showed no abnormalities in the gut other than gastric ulcer.

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 (10), 2785-2789, 2004

  日本臨床外科学会

キーワード

• 特発性気腹症
• 腹腔内遊離ガス

詳細情報

• CRID: 1390001204848054656
• NII論文ID: 130003603817
• NII論文ID: 10014056423
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.2785
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/10/65_10_2785/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004320640
• 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