虚血性回腸炎穿孔の1例 [in Japanese] A CASE OF PERFORATION OF ISCHEMIC ILEITIS [in Japanese]
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A case of perforation of ischemic ileitis caused by stenosis of the transverse colon due to recurrence of gastric cancer is reported here. A 71-year-old man was admitted to the hospital because of mild abdominal pain at the end of December in 1997. About 2 months before admission, the patient had undergone a total gastrectomy, a cholecystectomy, a splenectomy, an associated resection of pancreatic body and tail, and a partial resection of mesentery of the transverse colon for gastric cancer in the hospital. On January 14,1998. the abdominal pain suddenly aggravated, and a laparotomy was performed with a diagnosis of generalized peritonitis. There were diffuse and moderate dilatation and edema of the ileum and a perforation 4 mm in diameter on the ileum at the reverse side to that where the mesentery adheres, and about 30 cm distal from the terminal ileum. The transverse colon revealed a narrowing caused by adhesion due to recurrence of the gastric cancer. A partial resection of the small intestine was performed and an artificial anus was made at the ileum. Bases on histopathological findings of the resected ileum. perforation of ischemic ileitis was diagnosed.<BR>It is thought that the narrowing of the transverse colon due to recurrent gastric cancer caused the dilatation and resultant ischemia of the small intestine to lead to multiple ulcers. And one of them might perforate.
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62(2), 406-409, 2001-02-25
Japan Surgical Association