鈍的腹部外傷による遅発性大腸閉塞の１例

• 森岡 徹

  喜多医師会病院外科

• 難波 康男

  興生総合病院外科

• 藤原 久美

  興生総合病院病理

• 藤原 恒弘

  興生総合病院外科

書誌事項

タイトル別名

• A CASE OF DELAYED LARGE BOWEL OBSTRUCTION AFTER BLUNT ABDOMINAL TRAUMA

抄録

Most bowel injuries caused by blunt abdominal trauma are acute, such as a rupture or tear, and delayed large bowel obstruction is rare. We report a case of delayed large bowel obstruction following blunt abdominal trauma. A 20-year-old man with epigastralgia had been struck in the abdomen by a car steering wheel. On the 17th day following injury, he was hospitalized with appetite loss and abdominal pain. In a barium enema, the contrast medium stagnated in the transverse colon and none passed to the oral side. Laparotomy showed a hard mass in the transverse colon apparently causing the blockage and it was excised. Histopathologically, there was a rupture in the proper muscle divided by granulation tissue and fibrous tissue. Thick fibrosis extended outside the serous membrane, which was thick and scarred.<br>Although the number of unnecessary laparotomy cases following trauma has been decreasing with advances in diagnostic imaging, delayed complications such as ours are likely to increase, necessitating greater attention in follow-up.

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 65 (5), 1308-1312, 2004

  日本臨床外科学会

キーワード

• 遅発性大腸狭窄
• 鈍的腹部外傷
• 大腸閉塞

詳細情報

• CRID: 1390282679820783232
• NII論文ID: 130003604029
• NII論文ID: 10013165740
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.1308
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/5/65_5_1308/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004216245
• 本文言語コード: ja
• データソース種別:
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