A Case of the Strictural form of Ischemic Colitis with Pneumatosis Cystoides Intestinalis Treated by Laparoscopic Colectomy

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  • 腸管囊腫様気腫症を呈した狭窄型虚血性大腸炎に対し腹腔鏡手術を施行した1例

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Abstract

An 85-year-old man was referred to our hospital with upper abdominal pain and vomiting of sudden onset. Abdominal computed tomography revealed abnormal gas patterns in the wall and mesentery of the transverse colon, based on which a diagnosis of pneumatosis cystoides intestinalis was made. Since the clinical condition was stable, the patient was managed conservatively at first. However, the findings of colonoscopy, enema and abdominal computed tomography performed on day 14 after admission led to the diagnosis of structural-form ischemic colitis of the transverse colon, and elective laparoscopic surgery was performed. Using doppler rheography, we assessed the blood flow to the colon to determine the resection line. The patient’s postoperative clinical course was uneventful and he was discharged on postoperative day 39.

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