急性虫垂炎による虫垂重積症の1例 Appendiceal Intussusception Caused by Acute Appendicitis : Report of a Case

この論文にアクセスする

この論文をさがす

著者

抄録

症例は21歳,男性.右下腹部痛を主訴に来院した.血液検査では炎症マーカーの軽度上昇がみられ,腹部CT検査で右下腹部にtarget signを認めたため回盲部腸重積症と診断した.その後の大腸内視鏡検査では虫垂開口部を中心とした発赤の強い粘膜下腫瘍様隆起を認めたため,虫垂炎による虫垂重積症と診断した.1週間の保存的治療により重積所見の改善を認めた.その後外科的に虫垂切除術を施行したところ,病理組織学的結果は特に重積の核となるような器質的疾患をともなわない急性蜂窩織炎性虫垂炎であった.虫垂重積症は成人腸重積の中で頻度はまれだが,原因として本例のような急性虫垂炎の可能性も考慮する必要があると考えられた.<br>

An approximately 20-year-old man admitted to our hospital because of progressive right lower abdominal pain since the previous day. CT scan showed a target-like appearance in the ileocecal lesion. Colonoscopic finding examined on the day of admission showed an elevated lesion mimicking a submucosal tumor in the cecum. It had an expansive appearance with reddish color, and had the appendiceal orifice at the top. It was thought that the appendiceal intussusception had arisen from acute appendicitis.<br> After conservative treatment with antibiotics for a week, the patient had achieved an obvious clinical improvement. Since the patient hoped that a surgical resection would prevent recurrence of the condition, an appendectomy was subsequently performed on the nineth day after admission. Pathological findings of the resected specimen revealed that no neoplastic component was found in the appendix nor the cecal mucosa Mild to moderate infiltration of lymphatic follicles in the lamina propria suggested acute phlegmonous appendicitis. In the cases of adult intussusceptions previously reported, cases of appendiceal intussusceptions are rare. Likewise, commonly associated with neoplastic lesion or calcification, it was considered that this case was a simple case of appendicitis caused by appendiceal intussusception.<br>

収録刊行物

  • 日本大腸肛門病学会雑誌  

    日本大腸肛門病学会雑誌 61(6), 315-319, 2008-06-01 

    The Japan Society of Coloproctology

参考文献:  13件

参考文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

被引用文献:  1件

被引用文献を見るにはログインが必要です。ユーザIDをお持ちでない方は新規登録してください。

各種コード

  • NII論文ID(NAID)
    10021941647
  • NII書誌ID(NCID)
    AN00195100
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00471801
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
ページトップへ