A CASE OF SURVIVING ACUTE SUPERIOR MESENTERIC ARTERY OCCLUSION WITH HEPATIC PORTAL VENOUS GAS
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- WATANABE Masaaki
- Department of Surgery, Tomakomai City General Hospital
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- TAKAHASHI Syuusaku
- Department of Surgery, Tomakomai City General Hospital
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- HIROSE Kunihiro
- Department of Surgery, Tomakomai City General Hospital
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- SAJI Yutaka
- Department of Surgery, Tomakomai City General Hospital
Bibliographic Information
- Other Title
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- 広範な門脈内ガス血症を呈した上腸間膜動脈塞栓症の１例
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Abstract
We report a case surviving acute superior mesenteric artery occlusion with hepatic portal venous gas, which has a grave prognosis Only 9 survivors including this case have been reported in Japan. An-85-year-old woman with a past history of brain infarction complained of severe abdominal pain. Abdominal X-ray revealed a severe ileus image. Plain abdominal CT performed the next day showed hepatic portal venous gas. The physical examination indicated severe peritonitis. An emergency operation laparotomy, performed about 53 hours after onset, revealed severe necrosis of the small intestine from Treitz's ligament to the splenic flexure. All of the necrotic bowel was resected and a jejunostomy was performed. The length of the residual jejunum was about 20cm. Because of the length of the residual small intestine, a short bowel syndrome occurred. Other than that, the postoperative course was uneventful. The patient was discharged 20 days after the operation.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (9), 2196-2201, 2006
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204849277952
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- NII Article ID
- 130003605224
- 10018392146
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed