小腸穿孔をきたした Churg-Strauss 症候群の1例  [in Japanese] A CASE OF CHURG-STRAUSS SYNDROME CAUSING SMALL INTESTINAL PERFORATION  [in Japanese]

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Abstract

症例は66歳男性で,2001年5月から気管支喘息の加療中であった.2008年9月から四肢のしびれ,筋力低下,食思不振が出現し,好酸球増多もあり,11月にChurg-Strauss症候群(以下,CSS)と診断され,ステロイドの維持療法を行っていた.2009年4月に腹痛出現,CT,X線写真でfree airを認め,消化管穿孔および汎発性腹膜炎の診断で緊急手術を施行した.回腸末端より90cmの部位に穿孔を認め,穿孔部を含め小腸部分切除術を行った.小腸穿孔をきたしたCSSの1例を経験したので報告する.

A 66-year-old man was being treated for bronchial asthma since May, 2001. In September, 2008 he developed numbness of his limbs, muscular fatigue and a decrease in appetite. He was found to have an eosinophilia and was diagnosed as having Churg-Strauss syndrome (CSS) in November. He developed abdominal pain in April, 2009 while on maintenance steroid therapy. X-ray and computed tomography showed intraperitoneal free air, necessitating emergency surgery for perforation of the GI tract. At surgery a small intestinal perforation was noted 90 cm to the terminal ileum ; a partial intestinal resection was done. We report a CSS patient who developed a small intestinal perforation.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 72(4), 889-892, 2011-04-25

    Japan Surgical Association

References:  11

Cited by:  1

Codes

  • NII Article ID (NAID)
    10029098395
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    13452843
  • Data Source
    CJP  CJPref  J-STAGE 
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