腸重積をきたした横行結腸脂肪腫に対して腹腔鏡下手術を施行した1例  [in Japanese] A CASE OF LAPAROSCOPIC RESECTION OF A LIPOMA OF THE TRANSVERSE COLON PRESENTING WITH INTUSSUSCEPTION IN AN ADULT  [in Japanese]

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Abstract

今回われわれは成人型腸重積症にて発症した横行結腸脂肪腫に対して非観血的整復後に腹腔鏡下結腸切除術を施行した症例を経験したので報告する.症例は20歳,女性.腹痛を主訴に来院し,入院時のCT,超音波検査にて横行結腸脂肪腫による腸重積症と診断し直ちに非観血的整復術を施行した.整復後9日目に腹腔鏡補助下結腸切除術を施行した.皮切は約4cmと小さく,術後の患者の満足度も高かった.脂肪腫による成人腸重積症は大開腹手術を施行されることが多いが,整復後に腹腔鏡下に切除することが患者のQOLのために,最も望ましいと考えられた.

We report an adult case of lipoma presenting with intussusception of the transvers colon which was treated with radiologic reduction followed by laparoscopiy-assisted resection. A 20-year-old woman was admitted to the hospital because of abdominal pain. Abdominal computed tomography and sonography revealed intussusception caused by a lipoma of the transverse colon. Reduction with a contrast enema was performed immediately. On the ninth day after the reduction, laparoscopy-assisted colectomy was performed with a small skin incision with the length of 4cm. The patient was very satisfied with her small wound, Open surgery has been commonly performed for adult intussusception caused by a lipoma of the colon, but the laparoscopic procedure after reduction is preferable from the view point of the patient's quality of life.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 60(11), 2954-2958, 1999-11-25

    Japan Surgical Association

References:  14

Cited by:  13

Codes

  • NII Article ID (NAID)
    10008498430
  • 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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