術前診断された魚骨穿通による腹腔内膿瘍の1例  [in Japanese] A Case of Intra-abdominal Abscess due to Fish Bone Penetration Diagnosed by Abdominal CT  [in Japanese]

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Abstract

術前診断された魚骨穿通による腹腔内膿瘍を経験した. 症例は38歳男性. 下腹部痛をきたし, 近医より当院を紹介受診した. 腹部腫瘤を認めCTおよびMRI検査で魚骨を含む腹腔内膿瘍と診断され手術を行われた. 術中魚骨による大網に囲まれた膿瘍を認めた. 穿通部はS状結腸であった. 魚骨除去, 大網膿瘍切除およびドレナージ術を行った. 術後経過良好で術後21日目に軽快退院した.<br>魚骨による消化管穿通による腹腔内膿瘍は比較的まれであり, その術前診断は困難であるが, CTスキャンは有用であった.

We experienced a case of intra-abdominal abscess due to fish bone penetration. A 38-year-old man was admitted to our hospital because of a lower abdominal pain. He had an abdominal mass and abdominal CT and magnetic resonance imaging revealed an intra-abdominal abscess with a fish bone. The laparotomy was carried out. Operative findings were an intra-abdominal abscess with a fish bone surrounded by the omentum. The sigmoid colon appeared to be a penetrated site. An about 2.5 cm fish bone was removed and partial omentectomy and peritoneal drainage was performed. Postoperative course was uneventful and the patient was discharged on the 21st postoperative day.<br>Intra-abdominal abscess due to fish bone penetration is a relatively rare entity. It has been believed that the preoperative diagnosis is difficult, but that CT examination is effective in preoperative diagnosis.

Journal

  • Yamaguchi Medical Journal

    Yamaguchi Medical Journal 53(6), 321-325, 2004-12-31

    Yamaguchi University Medical Association

References:  14

Codes

  • NII Article ID (NAID)
    110002774369
  • NII NACSIS-CAT ID (NCID)
    AN00243156
  • Text Lang
    JPN
  • Article Type
    NOT
  • Journal Type
    大学紀要
  • ISSN
    05131731
  • NDL Article ID
    7295758
  • NDL Source Classification
    ZS7(科学技術--医学)
  • NDL Call No.
    Z19-417
  • Data Source
    CJP  NDL  NII-ELS  IR  J-STAGE 
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