小腸結核穿孔の1例  [in Japanese] A CASE REPORT OF INTESTINAL PERFORATRON DUE TO MYCOBACTERIUM TUBERCULOSIS  [in Japanese]

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Abstract

結核症は近年忘れられがちな疾患となった.しかし,わが国においては,最近罹患率の減少率は純化してきており,また米国においては増加しつつある疾患である.今回われわれは,肺結核で入院中に小腸結核の穿孔をきたした症例を経験したので報告する.症例は44歳の男性で約半年前より咳,痰,体重減少を自覚しており,肺結核の診断にて入院となった.第3病日に消化管穿孔の診断下に手術を施行し手術所見,病理学的所見から腸結核穿孔と診断された.腸結核の外科的対象としては,膿瘍,狭窄,閉塞,瘻孔形成,穿孔があげられるが,穿孔は頻度が低いとされている.手術術式は,切除範囲が問題となる.多発する潰瘍の範囲により可能ならば潰瘍の存在する範囲すべての切除が望ましいと考えた.

Tuberculosis has been prone to be forgotten in these years. But, the reduction rate of the morbidity of tuberculosis has become slow in Japan and the morbidity is increasing in the USA recently.<br> A 44-year-old male suffering from cough, sputum, and body weight loss for about 6 months were admitted to the hospital with a diagnosis of pulmonary tuberculosis. On the third hospital day, he was diagnosed as perforation of the digestive tract and underwent on emergency operation. Intraoperative and pathological findings indicated intestinal perforation due to Mycobacterium tuberculosis. Surgery is indicated for intestinal tuberculosis if the disease is complicated by abscess, obstruction, fistula, and perforation. Among these complications perforation uncommonly occurs. Upon operation we often have difficulty in deciding a suitable range of the intestine to be excised. We think that the range of the intestine including all ulcerative lesions should be excised, if possible.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 57(1), 121-125, 1996-01-25

    Japan Surgical Association

References:  19

Cited by:  13

Codes

  • NII Article ID (NAID)
    10008518431
  • 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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