Crohn病による穿孔性腹膜炎の1例

• 長谷川 久美

  東芝病院外科

• 川合 重夫

  東芝病院外科

• 久米 進一郎

  東芝病院外科

• 仁瓶 善郎

  東京医科歯科大学第2外科

• 杉原 健一

  東京医科歯科大学第2外科

書誌事項

タイトル別名

• FREE PERFORATION IN A PATIENT WITH CROHN'S DISEASE

抄録

A 35-year-old man was admitted because of severe abdominal pain. He had been treated with medication for Crohn's disease for 10 years. 5-aminosalicil acid and an elemental diet were started 8 months prior to admission. Seven days before admission, the patient took a nonsteroidal antiinflammatory drug for abdominal pain. His abdomen was rigid, and pan-peritonitis was suspected. An abdominal X-ray showed free air under the right leaf of the diaphragm. At laparotomy, the entire small bowel was diffusely erythematous and edematous, and both the mesentery and the bowel wall on the mesentric side were very thick. Perforation of the ileum was observed 230cm distal to the ligament of Treizt. A 20-cm segment of the ileum, including the perforation site, was resected, and an ileostomy was constructed. The ileostomy was successfully closed 5 months later. The postoperatiVe courese was satisfactory, although most of the affected bowel was left in situ.

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 (11), 2930-2934, 1998

  日本臨床外科学会

キーワード

• Crohn病
• 穿孔

詳細情報

• CRID: 1390282679826058752
• NII論文ID: 130003600719
• NII論文ID: 10008437645
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.59.2930
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/11/59_11_2930/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1999108236
• 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