保存的治療にて治癒した十二指腸水平脚憩室穿孔の１例

• 黒木 嘉人

  国民健康保険神岡町病院外科

書誌事項

タイトル別名

• Perforation of Diverticulum of the Third Duodenal Part Successfully Treated with Conservative Therapy. Report of a Case.

抄録

Perforation of a duodenal diverticulum is very rare, with most cases reported requiring emergency surgery. A correct preoperative diagnosis is made in a few cases. A 59-year-old woman reported severe sudden pain in the paraumbilicus to the back, which was immediately relieved by analgesics, only to recur at midnight, so she admitted the next morning. Abdominal computed tomography (CT) showed pneumo-retroperitoneum and fluid collection surrounding the pancreatic head and right kidney. Under suspicion of duodenal perforation, we conducted fluoroscopy by gastrographine, finding a perforating diverticulum in the third duodenal part. Since her general condition was good we chose conservative therapy with a continuous suction by a nasal drainage tube indwelling in the second duodenal part, intravenous hyperalimentation, administration of antibiotic, H2-blocker, and nafamostat mesilate. She recovered gradually and was discharged 41 days after admission. This is, to our knowledge, the first case report of spontaneous perforation of the duodenal diverticulum successfully treated with conservative therapy under correct diagnosis in Japan.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 63 (6), 1434-1437, 2002

  日本臨床外科学会

キーワード

• 十二指腸憩室穿孔
• 保存的治療
• 十二指腸水平脚

詳細情報

• CRID: 1390282679820375168
• NII論文ID: 130003603071
• NII論文ID: 10008913872
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.63.1434
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/63/6/63_6_1434/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002276474
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可