A CASE OF STRANGULATED ILEUS DUE TO THE IMPACTED SMALL INTESTINE IN AN OPENING LEFT AFTER REMOVAL OF A DRAIN

• SUWA Toshiyuki

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

• SAKURAI Joe

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

• AOKI Kazuhiro

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

• ENOMOTO Takeharu

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

• WATANABE Taiji

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

• OTSUBO Takehito

  Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine

Bibliographic Information

Other Title

• ドレーン抜去孔への小腸嵌頓による絞扼性イレウスの１例

Abstract

A 78-year-old woman underwent a sigmoidectomy for cancer of the sigmoid colon, followed by insertion of a duple drain (10mm in diameter) to the Douglas' pouch. When the drain was removed on the 5^th postoperative day, abdominal pain, nausea, and vomiting developed about 6 hours later. A fistsized subcutaneous tumor was found at a portion where was identical with that from which the drain was removed, and there was tenderness there as well. Abdominal CT scan showed the small intestine prolapsed to the subcutaneous structure. Prolapsed and incarcerated small intestine from a portion through where the drain was inserted was diagnosed, and an emergency operation was performed. During surgery we identified the impacted and necrotized small intestine in the opening left after removal of the drain and performed resection of the small intestine. The postoperative course was uneventful. The patient was discharged from the hospital on the 15^th hospital day after the initial operation.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 67 (12), 2856-2859, 2006

  Japan Surgical Association

Keywords

• ドレーン
• ヘルニア
• イレウス

Details

• CRID: 1390282679826105216
• NII Article ID: 130003604849
• NII Article ID: 10018817632
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.67.2856
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/12/67_12_2856/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007111005
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed