Ｄｕｂｉｎ‐Ｊｏｈｎｓｏｎ症候群に合併した後腹膜平滑筋肉腫の１例

• 下松谷 匠

  長浜赤十字病院外科

• 丸橋 和弘

  長浜赤十字病院外科

• 天谷 博一

  長浜赤十字病院外科

• 王子 裕東

  長浜赤十字病院外科

• 金 禹〓

  長浜赤十字病院外科

• 下郷 司

  坂田診療所

書誌事項

タイトル別名

• A Case of Dubin-Johnson Syndrome Associated with Retroperitoneal Leiomyosarcoma.

抄録

We report a case of Dubin-Johnson syndrome associated with retroperitoneal leiomyosarcoma. A 72-year-old woman undergoing retroperitoneal leiomyosarcoma resection 2 years previously, had a history of jaundice since young. Abdominal CT scans revealed a recurrent retroperitoneal tumor invading the pancreas, stomach, and mediastinum. She was admitted for tarry stool and dizziness. Endoscopy showed an easily bleeding tumor in the stomach. Total bilirubin was 3.2mg/dl and direct bilirubin 2.6mg/dl. Continued bloody stool led us to conduct a laparotomy, where liver size was found to be within normal limits and the liver brownish-black. The retroperitoneal tumor was resected together with the stomach and distal pancreas. The mediastinal tumor was resected through the diaphragm. Microscopic findings showed the tumor to be leiomyosarcoma. Liver biopsy showed coarse brown granules in hepatocytes. The postoperative course was uneventful, without transient bilirubin elevation.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 63 (1), 214-218, 2002

  日本臨床外科学会

キーワード

• Dubin-Johnson症候群
• 平滑筋肉腫

詳細情報

• CRID: 1390001204845951744
• NII論文ID: 130003602704
• NII論文ID: 10008393206
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.63.214
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/63/1/63_1_214/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002126418
• 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