書誌事項
- タイトル別名
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- A Case of Mucosal Necrosis with Massive Portal and Superior Mesenteric Venous Gas: Propriety and Risk of Preservation of the Intestine with Mucosal Necrosis
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We reported a rare case involving portal and superior mesenteric venous gas. A 81-year-old man with peritonitis underwent emergency surgery for portal, superior mesenteric, and peripheral mesenteric venous gas detected by computed tomography and ultrasonography. Most of the jejunum and ileum and their mesen- teric portions showed postischemic change, and 10 cm of the involved ileum showed transmural necrosis without perforation. Only the transmurally necrotic part of the ileum was resected. Mucosa of the remnant small bowel was black but peristalsis, wall tension, and mesenteric pulsation of the remnant small bowel were maintained, indicating ischemic change was reversible and nonocclusive due to a transient decrease in systemic blood pressure. We surmised a chance existed for the remnant ischemic small bowel to recover by maintaining systemic circulation, and conducted intestinal anastomosis. Although the patient suffered from postoperative pneumonia, he was transferred to another hospital without progression of ischemic changes in the remnant small bowel.
収録刊行物
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- 日本消化器外科学会雑誌
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日本消化器外科学会雑誌 36 (5), 406-411, 2003
一般社団法人 日本消化器外科学会
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詳細情報
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- CRID
- 1390282679895099264
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- NII論文ID
- 130004343947
- 110001294824
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- NII書誌ID
- AN00192066
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- ISSN
- 13489372
- 03869768
- http://id.crossref.org/issn/03869768
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可