A CASE OF INTESITINAL VOLVULUS WITH CHYLOUS ASCITES IN A CHILD
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- YONEZAWA Kei
- Department of Surgery, Takayama Red Cross Hospital
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- YOKOO Naoki
- Department of Surgery, Takayama Red Cross Hospital
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- SHIROKO Takashi
- Department of Surgery, Takayama Red Cross Hospital
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- FUTAMURA Manabu
- Department of Surgery, Takayama Red Cross Hospital
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- YONEYAMA Tetsuji
- Department of Surgery, Takayama Red Cross Hospital
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- MORI Shigeru
- Department of Surgery, Takayama Red Cross Hospital
Bibliographic Information
- Other Title
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- 乳糜腹水を伴った小児小腸捻転症の1例
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Abstract
A rare case of intestinal volvulus with chylous ascites in a child is described.<br> A 13-year-old girl was admitted to the hospital because of low abdominal pain with sudden onset. There were tenderness and vebownd tendesness. CT scan revealed a lot of ascites and bowel obstruction. On emergency laparotomy, chylous ascites, intestinal volvulus rotating clockwise by 360, ischemic changes of the small intestine, and dilation of lymphducts in the mesenterium and intestinal serosa were observed. Since the small intestine was quickly recovered from the ischemic change after manual reduction of the voluvulus, intesitinal resection was not performed. In addition, cecum mobile and Meckel's diverticulum were found, which were considered the causative factor of the volvulus. Appendectomy and diverticulectomy were performed.<br> Postoperative course was uneventful, and there has been no sign of recurrence as of four years after the operation. It is thought that, though the origin of chylous ascites was obscure, the presence of cecum mobile might induce the intestinal volvulus to cause obstruction of the lymphducts, with the consequent lymphorrhea.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 58 (12), 2880-2883, 1997
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390282680290011648
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- NII Article ID
- 130003600321
- 10008531721
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed