成人特発性気腹症の１例

• 和久 利彦

  セントラル病院外科 西条市立周桑病院外科

• 渡辺 和彦

  セントラル病院外科

• 冨岡 憲明

  セントラル病院外科

• 折田 洋二郎

  セントラル病院外科

書誌事項

タイトル別名

• A CASE OF IDIOPATHIC PNEUMOPERITONEUM IN AN ADULT

抄録

A 78-year-old man was admitted to the hospital because of pneumonia on December 16, 2002. As pneumonia did not improve, intravenous infusion of PZFX, a new quinolone antimicrobial agent, was started at a dose of 1000mg/day on December 21, 2002. Eight hours after administration of PZFX, general fatigue, dyspnea and oliguria were noted. Urinary output further decreased and the patient developed acute renal failure on the next day. Serum enzymes, including GOT, GPT, LDH, CPK and serum aldolase and urine myoglobin were markedly elevated, and rhabdomyolysis due to PZFX was diagnosed. Hemodialysis was started on the same day and high levels of serum enzymes promptly decreased. Chest X-ray revealed abdominal free air beneath the bilateral diaphragm on January 8, 2003. However, his symptoms and laboratory data did not suggest severe peritonitis. Both gastroduodenoscopy and colonoscopy showed no abnormal findings. The diagnosis of idiopathic pneumoperitoneum was established. Abdominal free air disappeared in chest x-ray on January 15, 2003. This is the 19^th case of adult idiopathic pneumoperitoneum reported in the Japanese 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 65 (12), 3283-3287, 2004

  日本臨床外科学会

キーワード

• 成人
• 特発性気腹症
• 横紋筋融解症

詳細情報

• CRID: 1390282679826244352
• NII論文ID: 130003603946
• NII論文ID: 10014391098
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.3283
• 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_3283/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005073224
• 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