書誌事項
- タイトル別名
-
- A Case of Ileus due to Colon Cancer Associated with Portal Venous Gas, Obstructive Colitis and Perforating Peritonitis
この論文をさがす
抄録
We report an extremely rare, severe case of ileus due to colon cancer associated with portal venous gas, extensive intestinal necrosis, and perforating peritonitis. A 57-year-old man reporting severe abdominal pain and nausea during examination for ileus had abdominal distension, tenderness, and tachycardia on physical examination. Laboratory studies showed inflammation response and metabolic acidosis. Abdominal computed tomography showed ascites, free air, and portal venous gas. Emergency surgery found reddish-brown ascites with foul-smelling extensive intestinal necrosis from the ileum to the sigmoid colon. A tumor with circular stenosis was located at the sigmoid colon, and perforation was observed at the tumor. Due to severe circula-tion problems, he initially underwent a resection of the necrotic intestine, followed 37 hours later by second-look operation. Polymyxin B immobilized fiber column and other intensive cares for respiratory failure and disseminated intravascular coagulation were conducted postoperatively. The patient improved and was discharged 59 days after the first operation.
収録刊行物
-
- 日本消化器外科学会雑誌
-
日本消化器外科学会雑誌 37 (12), 1924-1929, 2004
一般社団法人 日本消化器外科学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390001204918717824
-
- NII論文ID
- 130004344039
- 110001356422
-
- NII書誌ID
- AN00192066
-
- ISSN
- 13489372
- 03869768
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可