後腹膜気腫を併存した腸管気腫症の１例

• 和田 博雄

  横浜市立市民病院外科

• 永野 靖彦

  横浜市立市民病院外科

• 鬼頭 文彦

  横浜市立市民病院外科

• 福島 恒男

  横浜市立市民病院外科

書誌事項

タイトル別名

• A Case of Pneumatosis Intestinalis (PI) with Free Air in the Retroperitoneal Space

抄録

A 78-year-old man admitted for recurrent lung cancer was found on chest X ray to have free air in the peritoneal cavity. He had abdominal distension and tenderness around the right upper or lower abdomen. WBC and CRP were 8, 050/mm³ and 10.2mg/dl. Abdominal X ray and abdominal computed tomography (CT) showed continuous bands of air along the intestinal wall. PI was suspected, however gastrointestinal perforation was not denied because of abdominal tenderness, free air, and rising CRP. Emergency laparotomy showed no ascites but gas-filled multiple cysts along the intestinal wall from the jejunum 170 cm toward the anus of the Treitz ligament to the terminal ileum and mesentery. PI confirmed there was no perforation. CT showed free air in the retroperitoneal space, suggesting that this may have developed from alveolar rupture.

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), 545-548, 2006

  日本腹部救急医学会

キーワード

• 腸管気腫症
• 後腹膜気腫

詳細情報

• CRID: 1390282679710541312
• NII論文ID: 130004243478
• NII論文ID: 10018769606
• NII書誌ID: AN10426469
• DOI: 10.11231/jaem1993.26.545
• ISSN: 18824781
• ISSN: 13402242
• Web Site: https://search.jamas.or.jp/link/ui/2006204622
• 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