小腸癌を先進部とする成人腸重積の1例 A CASE OF ADULT INTUSSUSCEPTION DUE TO CARCINOMA OF THE SMALL INTESTINE

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症例は78歳女性.腹痛を主訴に当院受診.イレウスの診断にて入院となった.小腸造影で回腸に腫瘤陰影を認め,小腸腫瘍の診断にて手術を施行した.手術所見では回腸の腫瘤を先進部とする重積を認め用手的に整復した後,悪性腫瘍も考慮したリンパ節郭清を含む小腸切除を施行した.組織型は高分化腺癌であり深達度はm, リンパ節転移は認められなかった. 1981~1998までに本邦で報告された小腸悪性腫瘍による腸重積症例52例を集計し検討した.腸重積の術前正診率は81%であり特にUS, CT検査が有用であった.

A 78-year-old woman was admitted to the hospital because of abdominal pain and symptoms of small bowel obstruction. Since an enterography revealed a tumor shadow at the ileum, we performed an operation with diagnosis of tumor of the small intestine.<br>At laparotomy, Intussusception caused by the tumor at the ileum was observed. After manual restoration, a partial resection of the ileum and lymph nodes dissection were performed in consideration of possibility of malignancy.<br>Histological examination revealed well differentiaed adenocarcinoma of intramucosal infiltration and no involvement of regional lymph nodes.<br>In a review of the literature, 52 cases of adult intussusception due to some malignant tumor of the small intestine have been reported from 1981 to 1998 in Japan.<br>Preoperative accurate diagnosis of intussusception was made in 81% of these cases, and ultrasonography and CT scan were especially useful for the diagnosis of this condition.

収録刊行物

  • 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association

    日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 60(10), 2684-2688, 1999-10-25

    Japan Surgical Association

参考文献:  7件中 1-7件 を表示

被引用文献:  9件中 1-9件 を表示

各種コード

  • NII論文ID(NAID)
    10008497748
  • NII書誌ID(NCID)
    AA11189709
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    13452843
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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