虫垂重積症の1例  [in Japanese] A CASE OF PRIMARY APPENDICEAL INTUSSUSCEPTION  [in Japanese]

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Abstract

不完全型虫垂重積症の1例を経験したので報告する.症例は30歳,男性,右下腹部痛,微熱を主訴として来院した.大腸内視鏡検査では虫垂開口部に炎症を伴った隆起性病変を認めた.腹部CT所見では虫垂は腫大し層状構造(targetsign)を認めた.注腸検査所見では虫垂は造影されず盲腸内側に隆起性病変を思わせる陰影欠損を認めた.以上の所見より虫垂重積症と診断し手術を施行した.開腹所見では虫垂は2×4.5cmと腫大していた.虫垂切除を行い手術を終了した.切除標本では遠位側虫垂が近位側虫垂内へ重積する不完全型虫垂重積症であった.

A case of primary appendiceal intussusception is reported. A 30-year-old man was admitted to the hospital because of right lower abdominal pain and low grade fever. Endoscopic examination showed an inflammatory polypoid mass in the cecum. Abdominal computed tomographic (CT) scan showed a target-like appearance. Barium enema showed a polypoid lesion in the base of the cecum with nonfilling of the appendix.<br> Preoperative diagnosis is intussusception of the appendix and a laparotomy was performed. The appendix was swollen to be about 2×4.5cm in size and an appendectomy was made. Postoperative diagnosis was imcomplete intussusception of the appendix in which the distal appendix invaginated into the proximal appendix.

Journal

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

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 63(4), 923-926, 2002-04-25

    Japan Surgical Association

References:  19

Cited by:  3

Keywords

Codes

  • NII Article ID (NAID)
    10008618951
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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