原発性虫垂重積症の1例  [in Japanese] A CASE OF PRIMARY APPENDICAL INTUSSUSCEPTION  [in Japanese]

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Author(s)

    • 田中 基文 TANAKA Motofumi
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine
    • 藤野 泰宏 FUJINO Yasuhiro
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine
    • 大野 伯和 OHNO Hirokazu
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine
    • 中村 毅 NAKAMURA Takeshi
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine
    • 具 英成 KU Yonson
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine
    • 黒田 嘉和 KURODA Yoshikazu
    • 神戸大学大学院医学系研究科応用分子医学講座消化器外科 Department of Gastroenterological Surgery, Kobe University Graduate School of Medicine

Abstract

虫垂重積症の1例を報告する.症例は88歳,女性.主訴は右下腹部痛.注腸造影および大腸内視鏡検査にて回盲部に隆起性病変を認めた.腹部超音波検査では,同部位に腫瘤像およびその内部にconcentric ring signを伴う嚢胞状エコー像を認め,回盲部腫瘍の診断にて右結腸切除術を施行した.切除標本では,虫垂開口部を中心に存在する盲腸腫瘍と,腫大して盲腸内に重積をきたした虫垂を認めた.病理組織学的検査にて,虫垂開口部付近に発生した盲腸癌と診断された.なお虫垂粘膜は炎症性変化を認めるのみであった.重積の生じた原因としては,虫垂開口部周囲に発生した盲腸癌の進展に伴い,虫垂が盲腸内に引き込まれたためと考えられた.

We report an 88-year-old woman with primary appendical intussusception. Contrast enema and colonoscopy showed a protuberant tumor of the cecum. Abdominal computed tomography and ultrasound imaging showed a cystic lesion in this tumor. At operation, right colectomy was done including a dissection of regional lymph nodes. The tumor originated around the orifice of the appendix and the appendix invaginated into the cecum. Pathological findings subsequently confirmed a cecal carcinoma, While appendical mucosa was only inflammatory change. We consider that the appendix was drawn into the cecum by cecal carcinoma.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(1), 132-135, 2002-01-25

    Japan Surgical Association

References:  12

Cited by:  2

Codes

  • NII Article ID (NAID)
    10008392949
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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