１０１歳女性大腿ヘルニアかん頓によるイレウスの１例

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  • A Case of Incarceration of a Right Femoral Hernia in an Extremely Elderly Woman.

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A case of ileus due to incarceration of a right femoral hernia in an extremely elderly woman (101-years-old) is reported. She was admitted to the hospital because of vomiting, nausea, and abdominal pain. There was no past history of surgery nor injury. An abdominal X-ray film revealed intestinal huge air. Abdominal US and CT scan revealed the edematous intestine on the right lower abdominal wall. An emergency operation was carried out under general anesthesia. There was incarceration of the small intestine that showed ischemic but no necrotic change into a right femoral canal. No intestinal resection was made. After the operation, the cardiopulmonary function was stable and the renal function improved. The patient started to drink on the second and to eat on the third postoperative day. Postoperative delirium lasted for seven days. On 14th post operative day she was discharged from the hospital, and her prognosis has remained uneventful.<br> Surgery has been increasingly indicated for elderly patients with a recent prolongation of average life span and a progression of medical capabilities. It is, however, rate that emergency laparotomy is indicated for elderly patients over 100 years and so far only eight cases including this case have been reported in Japan.

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