急性腹症が先行し腹腔鏡観察が確定診断に有用であったＨｅｎｏｃｈ‐Ｓｃｈｏｅｎｌｅｉｎ紫斑病の１例

• 小角 卓也

  近畿大学奈良病院小児外科

• 米倉 竹夫

  近畿大学奈良病院小児外科

• 大割 貢

  近畿大学奈良病院小児外科

書誌事項

タイトル別名

• A Case of Acute Abdomen Laparoscopically Diagnosed as Pre-purpuric Henoch-Schoenlein Purpura

抄録

A six-year-old girl was admitted to a local hospital with a 5 day history of vomiting and abdominal pain. She had high levels of WBC count and serum CRP. Computed tomography demonstrated moderate fluid collection in the ileocecal region with little pleural effusion. On transfer to our hospital the following day, she had abdominal guarding in the right lower quadrant. Surgery was performed for acute abdomen. A small right lower pararectal laparotomy revealed moderate serosanguinous ascites and an inflammatory change in the terminal ileal wall 20 cm orally. To evaluate the intraabdominal lesion, a laparoscopic operation was performed with the application of a Lap-Disk. Henoch-Schonlein purpura was suspected from the laparoscopic findings of terminal ileitis and hemorrhagic spots in the right abdominal peritoneum. Small hemorrhagic spots appeared on both leg on postoperative day (POD) 2 and her factor XIII level was 28% on POD 1. Acute abdomen due to Henoch-Schonlein purpura was finally confirmed.

収録刊行物

• 日本腹部救急医学会雑誌

  日本腹部救急医学会雑誌 26 (4), 539-543, 2006

  日本腹部救急医学会

キーワード

• Henoch-Schönlein紫斑病
• 急性腹症
• 腹腔鏡検査

詳細情報

• CRID: 1390001204733831296
• NII論文ID: 130004243477
• NII論文ID: 10018769593
• NII書誌ID: AN10426469
• DOI: 10.11231/jaem1993.26.539
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2006204621
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可