ＣＴ検査にて術前診断したｐｒｅｓｓ　ｔｈｒｏｕｇｈ　ｐａｃｋａｇｅ誤飲によるイレウスの１例

• 安田 武生

  済生会兵庫県病院外科

• 山本 隆久

  済生会兵庫県病院外科

• 中井 亨

  済生会兵庫県病院外科

• 三浦 順郎

  済生会兵庫県病院外科

書誌事項

タイトル別名

• A CASE OF ILEUS DUE TO PRESS THROUGH PACKAGE (PTP) DIAGNOSED PREOPERATIVELY BY COMPUTED TOMOGRAPHY

抄録

A 72-year-old man was admitted to the hospital because of right lower abdominal pain on December 3, 2002. Plain abdominal X-ray film showed dilatation of the intestine and niveau, and abdominal CT scan on admission revealed the wall thickening and a foreign body of the ileum. At that time, we could not diagnose the ingested foreign body. On the 4th hospital day, follow-up CT scan showed that the foreign body had a small round nodule in the center and a high density area in the neighborhood. So we diagnosed the case as ileus due to ingested PTP, and performed emergency laparotomy on December 6. Intraoperative findings revealed inflammatory adhesions in the ileum 30 cm adoral to the end of the ileum, and partial resection of the small bowel was performed. The resected specimen contained Meckel's diverticulum covered by PTP. It was etiologically thought that the ingested PTP penetrated the opening of the Meckel's diverticulum causing inflammatory adhesions and evertual ileus. Preoperative diagnosis of accidentally swallowed PTP is often difficult, but abdominal CT scan is useful for diagnosis.

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 (12), 3202-3205, 2004

  日本臨床外科学会

キーワード

• Meckel憩室
• イレウス

詳細情報

• CRID: 1390001204849583872
• NII論文ID: 130003603935
• NII論文ID: 10014390844
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.3202
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/12/65_12_3202/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005060731
• 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