A Case of Adheisional Ileus Caused by an Abdominal Foreign Body

• Igarashi Akira

  Department of Surgery, Seirei Yoshiwara Hospital

• Ori Toshiyuki

  Department of Surgery, Seirei Yoshiwara Hospital

• Saitou Takaaki

  Department of Surgery, Seirei Yoshiwara Hospital

Bibliographic Information

Other Title

• 腹腔内異物（ガーゼ）による癒着性イレウスの１例

Abstract

An 81-year-old woman was seen at the hospital because of abdominal pain and nausea on 19 September 2003. On physical examination, lower abdominal tenderness and distension were noted. An abdominal CT scan showed distension of the small intestine and a calcigerous mass. The patient underwent conservative therapy upon admission. Despite conservative treatment, peritoneal irritation developed and an emergency laparotomy was performed. Intraoperatively, the laparotomy revealed many adhesions and the distended small intestine adhered to the calcigerous mass at its center giving it a cloverleaf-like appearance. The adhesive intestine was resected. Pathological examination revealed the fiber-like substance to be gauze fibers. We report the rare case of a retained surgical sponge in a patient who presented with intestinal obstruction-like symptoms about 50 years postsurgically.

Journal

• Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

  Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 25 (1), 87-89, 2005

  Japanese Society for Abdominal Emergency Medicine

Keywords

• イレウス
• 遺残ガーゼによる炎症性腫瘤

Details

• CRID: 1390282679712233856
• NII Article ID: 130004243422
• NII Article ID: 10014376783
• NII Book ID: AN10426469
• DOI: 10.11231/jaem1993.25.87
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2005140584
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed