腸石イレウスと腸石嵌頓盲腸憩室炎の2例  [in Japanese] ENTEROLITH ILEUS AND ENTEROLITH-IMPACTED CECAL DIVERTICULITIS IN ONE PATIENT EACH  [in Japanese]

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Abstract

手術を要した腸石の2例を経験した,症例1:患者は63歳男性.コーヒー残渣様液の嘔吐を主訴として入院した.多発胃潰瘍を認め,禁食保存加療を行ったが,入院後7日目より腸閉塞となった.イレウス管を挿入し,小腸造影を施行したところ,小腸内に7×4×4cm大の楕円形陰影欠損像を認めた.諸検査後,腸石イレウスと診断し,手術を施行した.腸石による腸閉塞で,回腸切開腸石除去術を施行した.症例2:患者は26歳女性.右下腹痛にて入院した.白血球数が15,200/mm<sup>3</sup>と増加していた.US,CT検査で,盲腸の部位に2.5cm大の結石像を認めた.腸石による憩室炎または虫垂炎と診断し,入院当日に手術を施行した.虫垂に隣接した盲腸憩室炎で憩室内に2.5cm径の腸石を認めた.憩室および虫垂切除術を施行した.

Two patients with enterolith were surgically treated in the hospital. Case 1: A 63-year-old man was admitted to the hospital because of coffee-ground vomit. Multiple gastric ulcers were found, and the patient was treated conservatively with oral feeding prohibited. The patient developed intestinal obstruc-tion on day 7 after admission. An ileus tube was passed, and X-ray examination of the small intestine revealed a 7×4×4cm oval filling defect. Based on the results of several examinations, a diagnosis of enterolith ileus was made, and ileotomy with removal of the enterolith was performed. Case 2: A 26-year-old woman was admitted to the hospital because of a right lower abdominal pain. The leukocyte count elevated to 15, 200/mm<sup>3</sup>. Ultrasonography and CT examinations demonstrated a 2.5cm calculus at the level of the cecum. A differential diagnosis of diverticulitis or appendicitis due to enterolith was made, and surgery was performed on the day of admission. A diagnosis of cecal diverticulitis adjacent to the vermiform appendix was made intraoperatively, and an enterolith 2.5cm in diameter was found in the diverticulum. Excision of the diverticulum and appendectomy were performed.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 56(10), 2094-2098, 1995-10-25

    Japan Surgical Association

References:  9

Cited by:  6

Codes

  • NII Article ID (NAID)
    10008516115
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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