A CASE OF STRANGULATED ILEUS ACCOMPANIED WITH CHYLE-LIKE ASCITES

• KAMEI Natsuko

  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

• KATAYAMA Masafumi

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

• SUDA Tadashi

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

• TSUKIKAWA Satoshi

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

• OHTSUBO Takehito

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

Bibliographic Information

Other Title

• 乳糜腹水を伴った絞扼性イレウスの１例

Abstract

A 64-year-old man consulted a clinic in his neighborhood because of nausea and a gradually aggravating abdominal pain. He was diagnosed strangulated ileus and was referred to our hospital. Upon arrival, his level of consciousness was normal but the whole abdomen was swollen and pressure pain was recognized in the left flank. Abdominal CT revealed a large amount of ascites from the periphery of the liver to the vesicorectal fossa. Furthermore, there was about 180 degree torsion of the mesentery with the superior mesenteric artery as the axis, which led to the diagnosis of strangulated ileus. Accordingly, an emergency operation was performed on the same day. When we opened the abdomen we found a large volume (ca. 1000mL) of chyle-like ascites, and about 180 degree torsion of the mesentery in the clockwise direction with the superior mesenteric artery as the axis. The small intestine was pale purple and chyle-like fluid retention was observed in the small intestine mesentery. After the torsion was freed, the color of small intestine rapidly improved and the retention of chyle-like fluid in the mesentery tended to decrease. The post-operative course was favorable and the patient was discharged 10 days after the onset of symptoms.

Journal

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

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 69 (7), 1683-1686, 2008

  Japan Surgical Association

Keywords

• 乳糜腹水
• 絞扼性イレウス

Details

• CRID: 1390001204847862272
• NII Article ID: 10021944650
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.69.1683
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/jjsa/69/7/69_7_1683/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008315718
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed