腸管部分拡張症 : 自験2例と報告例の分析  [in Japanese] Segmental Dilatation of the Intestine : Case report of our two patients and review of 84 cases  [in Japanese]

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Abstract

回腸部分拡張症の2自験例について報告する.胎児診断で腹腔内の嚢胞性病変として確認され,新生児期に間欠的イレウス症状を繰り返した例,幼児期より拡張腸管内の潰瘍性病変による下血・貧血を生じた例である.さらに腸管部分拡張症の本邦及び欧米での報告例86例を集計し,その疾患像について分析した.成因は未だ解明されていないが,合併奇形を有する例も多く胎生早期に発生しているものと思われる.本症は空腸から大腸まで広く認められ,発生部位により臨床像,病理所見などに多様性を認める.拡張腸管切除・端々吻合により予後は極めて良好なので,本症の存在が広く認識され正確な術前診断がなされることが求められる.

The first case is a newborn girl who was identified as having a cystic lesion in abdominal cavity at fetus, and developed the intestinal obstruction three times in newborn period. The second case gave rise to anemia and melena due to intestinal ulceration. According to review of 86 cases, our two cases and 84 cases from the literature, we made a detailed analysis of clinical and pathological picture about segmental dilatation of the intestine (SD). SD is recognized at all parts of intestine. From the difference of originated part, associated anomalies, and existence of ectopic tissue, we speculate that SD is caused by different pathology. Because the prognosis is most satisfactory by means of resection of the dilated segment, it is important that the existence of SD is widely known and diagnosed exactly before operation.

Journal

  • Journal of the Japanese Society of Pediatric Surgeons

    Journal of the Japanese Society of Pediatric Surgeons 30(2), 279-287, 1994

    The Japanese Society of Pediatric Surgeons

Cited by:  4

Codes

  • NII Article ID (NAID)
    110002105136
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0288-609X
  • Data Source
    CJPref  NII-ELS  J-STAGE 
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