Pneumoperitoneum without gastrointestinal perforation following adhesive ileus in an adult.

• YOSHIKAWA Masato

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• IWASE Kazuhiro

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• HIGAKI Jun

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• MIKATA Shoki

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• TANAKA Yasushi

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• KISHIMOTO Tomono

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• TORIKAI Kei

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

• KAMIIKE Wataru

  Department of Surgery, Rinku General Medical Center, Izumisano Municipal Hospital

Bibliographic Information

Other Title

• 癒着性イレウスに併発した消化管穿孔を伴わない気腹症の１例

Abstract

A 25-year-old woman was admitted to our hospital because of an adhesive ileus due to an operation for right ovarian cyst performed two years earlier. Partial resection of the ileum was done and the postoperative course had been uneventful. Four months later, she had a symptoms of ileus again. Conservative therapy using a naso-gastric tube was attempted. An abdominal roentgenogram and CT scans revealed intra-abdominal free air on the third day. Therefore, emergent laparotomy was performed. An adhesion between the preceding anastomotic site and the oral side of the ileum was found. No evidence of gastrointestinal perforation in spite of completion of intraoperative gastrofiberscopy and air leak test in the peritoneal cavity using saline was found. Only ablation of the adhesion was performed, and the postoperative course was uneventful. Complete remission of ileus is essential in treating pneumoperitoneum complicated with adhesive ileus.

Journal

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

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 61 (12), 3374-3377, 2000

  Japan Surgical Association

Keywords

• 気腹症
• イレウス
• 消化管穿孔

Details

• CRID: 1390282679822154624
• NII Article ID: 130003432567
• NII Article ID: 10008505352
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.61.3374
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/12/61_12_3374/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001123991
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed