鈍的外傷による成人胃破裂の1例

• 富永 春海

  八尾徳洲会総合病院外科

• 南 康範

  八尾徳洲会総合病院外科

• 大森 敏弘

  八尾徳洲会総合病院外科

• 中室 誠

  八尾徳洲会総合病院外科

書誌事項

タイトル別名

• AN ADULT CASE OF GASTRIC RUPTURE RESULTING FROM ABDOMINAL BLUNT TRAUMA

抄録

The patient was a 21-year-old man. He crashed head-on with a truck while driving a car. He was admitted by ambulance. He vomitted blood a little and his abdomen showed muscular defence. Abdominal computed tomography showed free air and food remnant in the abdominal cavity. We diagnosed gastric rupture. At laparotomy, the stomach was observed to have been lacerated at the anterior wall of the angle. The laceration was sharp and was 5cm in length, so we closed it without debridement. Astriction to the subcapsular injury of the liver and spleen was carried out. The patient had also sustained pulmonary injury, hemothorax, and fractures of the left ribs and right femur, which required blood transfusion of large quantities. At laparotomy, a large amount of food remnant both inside and outside of the stomach was present, so we surmised that the cause of the gastric rupture was increased intraluminal pressure in the stomach.<br> Besides this case, there have been only 12 case reports of adult gastric rupture from abdominal blunt trauma in the Japanease literature.

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 61 (5), 1190-1193, 2000

  日本臨床外科学会

キーワード

• 胃破裂
• 鈍的外傷

詳細情報

• CRID: 1390282679827144576
• NII論文ID: 130003601884
• NII論文ID: 10009379615
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.61.1190
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/5/61_5_1190/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000237370
• 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