左側下大静脈を伴った破裂性腹部大動脈瘤の1例  [in Japanese] A Ruptured Abdominal Aortic Aneurysm with a Left-sided Inferior Vena Cava  [in Japanese]

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Abstract

要 旨:症例は81歳男性。1週間前より続く腰痛,腹痛,腹部膨満感のため,体動困難,食指不振となり,近医受診後に当院紹介受診となった。造影CTにて破裂性腹部大動脈瘤,左下大静脈を認め,緊急Y型人工血管置換術を施行した。腹部コンパートメント症候群を起こす可能性があったため,術後3日間は,ビニールシートを用いた一時的閉腹状態での管理を行った。その後の経過は良好で,術後27日目に退院となった。左側下大静脈は稀な下大静脈の奇形であり,若干の文献的考察を加えて報告する。

An 81 year-old man had persistent lumbar pain, abdominal pain, and abdominal distension for a week was acutely admitted to our hospital. An enhanced computed tomography scan showed a ruptured infrarenal abdominal aortic aneurysm and a left-sided inferior vena cava. We successfully performed emergency abdominal aortic reconstruction, though we needed temporary abdominal closure with a vinyl sheet for 3 days for fear of abdominal compartment syndrome. He recovered uneventfully and was discharged 27 days after surgery. Left sided inferior vena cava is a rare anomaly of the inferior vena cava and we review the relevant literature here.

Journal

  • The Journal of Japanese College of Angiology

    The Journal of Japanese College of Angiology 53(August), 131-134, 2013

    Japanese College of Angiology

Codes

  • NII Article ID (NAID)
    130003378858
  • Text Lang
    JPN
  • ISSN
    0387-1126
  • Data Source
    J-STAGE 
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