後腹膜気腫および門脈内ガス血症を伴ったS状結腸憩室穿孔の1例

• 矢野 達哉

  西条中央病院外科

• 土居 崇

  西条中央病院外科

• 増田 潤

  西条中央病院外科

• 藤石 秀三

  町立吉田病院外科

書誌事項

タイトル別名

• A CASE OF PERFORATION OF DIVERTICULUM OF THE SIGMOID COLON WITH GAS IN THE PORTAL VENOUS SYSTEM AND RETROPERITONEAL EMPHYSEMA

抄録

We report a rare case of perforation of diverticulum of the sigmoid colon with gas in the portal venous system and retroperitoneal emphysema. A 75-year-old man was seen at the hospital because of abrupt onset of lower abdominal pain and anal bleeding, and was admitted with a suspicion of ischemic colitis on an emergency colonoscopy. Conservative therapy was started, but on the 6th day the abdominal pain was intensified and muscular defense appeared. After a Hartmann operation was conducted, septic shock was lasted and the patient died on the 6th postoperative day. Histologic study of the resected material showed perforation of diverticulum of the sigmoid colon. Generalized peritonitis due to diverticular perforation of the large intestine is relatively common in aged people, but this case which were accompanied by gas in the portal venous system and emphysematous change in the retroperitoneum is rare. Some notes are also presented.

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 59 (4), 1043-1046, 1998

  日本臨床外科学会

キーワード

• 結腸憩室穿孔
• 門脈内ガス血症
• 後腹膜気腫

詳細情報

• CRID: 1390282679825516416
• NII論文ID: 130003600885
• NII論文ID: 10008435897
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.1043
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/4/59_4_1043/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998224160
• データソース種別:
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  • Crossref
  • CiNii Articles
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