子宮留膿腫穿孔による汎発性腹膜炎の1例  [in Japanese] A CASE OF GENERALIZED PERITONITIS BY PERFORATED PYOMETRA  [in Japanese]

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Abstract

今回われわれは,子宮留膿腫穿孔による汎発性腹膜炎の1例を経験したので報告する.症例は72歳女性.リウマチ性多発筋痛症の増悪のため当院入院中,下腹部痛を自覚.下腹部を中心に筋性防御を認め,下部消化管穿孔による汎発性腹膜炎の診断のもとに手術を施行した.開腹すると消化管に異常はなく,子宮底部に穿孔部位があり膿汁の流出を認めたため,子宮留膿腫穿孔による汎発性腹膜炎と診断し,子宮全摘術および腹腔ドレナージ術を施行した.病理組織学的に,子宮には悪性所見を認めなかった.高齢女性,特に活動性の低い患者の汎発性腹膜炎の場合,本症も鑑別診断として考慮されるべきと思われる.

We report a case of generalized peritonitis by perforated pyometra. A 72-year-old woman developed lower abdominal pain during hospitalization for polymyalgia rheumatica. The muscle guarding was present in the area centering the lower abdomen, and an emergency operation was performed under a diagnosis of generalized peritonitis by perforation of lower intestinal tract. On laparotomy, the intestinal tract was intact but a perforation in the fundus of the uterus was found and pus flowed out. A diagnosis of generalized peritonitis by perforated pyometora was made, and total histerectomy and peritoneal drainage were carried out. Histological examination of the uterus revealed out. Histological examination of the uterus revealed no evidence of malignancy. In case of the elderly women with generalized peritonitis, especially those with poor activity in daily living a perforated pyometra must be considered in the differential diagnosis.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59(11), 2926-2929, 1998-11-25

    Japan Surgical Association

References:  7

Cited by:  5

Codes

  • NII Article ID (NAID)
    10008437637
  • 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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