TWO CASES OF PNEUMATOSIS CYSTOIDES INTESTINALIS FOUND BY INTRAPERITONEAL FREE AIR
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- IMANO Hiroshi
- Department of Surgery, Yuri Kumiai General Hospital
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- KAIHOH Tsuneo
- Department of Surgery, Yuri Kumiai General Hospital
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- HASHIMOTO Masazi
- Department of Surgery, Yuri Kumiai General Hospital
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- SHIBUYA Hiroshi
- Department of Surgery, Yuri Kumiai General Hospital
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- HIRANO Yutaka
- Department of Surgery, Yuri Kumiai General Hospital
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- TAKANO Kazuhiko
- Department of Surgery, Yuri Kumiai General Hospital
Bibliographic Information
- Other Title
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- Free airを契機に発見した腸管嚢胞様気腫症の2例
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Abstract
We present two cases of pneumatosis cystoides intestinalis (PCI) found by intraperitoneal free air.<br> Case 1: A 73-year-old woman was seen at the hospital because of right lower abdominal pain. Intraperitoneal free air was detected by chest and abdominal roentgenograms. Pneumatoid changes of the cecum, splenic flexure, descending and sigmoid colon were observed during laparotomy. Because of the risk of perforation ileocecal resection was carried out, but no evidence of perforated intestine was found.<br> Case 2: A 73-year-old woman with Parkinson's disease was seen at the hospital because of chest pain. Intraperitoneal free air was detected by chest roentgenogram, and abdominal CT scan demonstrated pneumatosis of the colonic wall. After the patient was treated with hyper oxygen, the intraperitoneal free air disappeared completely.<br> We concluded that abdominal CT scan should be employed for a patient without abdominal muscle guarding but with intraperitoneal free air by roentgenogram, and that hyper oxygen therapy should be the treatment of choise at first when the diagnosis is PCI.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 60 (12), 3215-3218, 1999
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204847830912
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- NII Article ID
- 130003601244
- 10008499115
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed