回盲部潰瘍穿孔,食道潰瘍穿孔をきたした腸管Behçet 病の1手術例  [in Japanese] Behçet's disease complicated by ileocecal and esophageal perforation  [in Japanese]

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Author(s)

    • 九十九 悠太 Tsukumo Yuta
    • 倉敷中央病院 消化器外科|岡山大学大学院医歯薬学総合研究科 消化器外科学 Department of General Surgery and Gastroenterology, Kurashiki Central Hospital|Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 藤原 俊義 Fujiwara Toshiyoshi
    • 岡山大学大学院医歯薬学総合研究科 消化器外科学 Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 高木 弘誠 Takagi Kosei
    • 岡山大学大学院医歯薬学総合研究科 消化器外科学 Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 陳 開 Chin Kai
    • 倉敷中央病院 消化器外科 Department of General Surgery and Gastroenterology, Kurashiki Central Hospital
    • 松葉 優里 Matsuba Yuri
    • 倉敷中央病院 消化器外科 Department of General Surgery and Gastroenterology, Kurashiki Central Hospital
    • 岡部 道雄 Okabe Michio
    • 倉敷中央病院 消化器外科 Department of General Surgery and Gastroenterology, Kurashiki Central Hospital
    • 白川 靖博 Shirakawa Yasuhiro
    • 岡山大学大学院医歯薬学総合研究科 消化器外科学 Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
    • 伊藤 雅 Itoh Tadashi
    • 倉敷中央病院 消化器外科 Department of General Surgery and Gastroenterology, Kurashiki Central Hospital

Abstract

A 36-year-old Japanese man known to have incomplete Behçet's disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection.

A 36-year-old Japanese man known to have incomplete Behçet's disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection.

Journal

  • Okayama Igakkai Zasshi (Journal of Okayama Medical Association)

    Okayama Igakkai Zasshi (Journal of Okayama Medical Association) 128(1), 27-32, 2016

    Okayama Medical Association

Codes

  • NII Article ID (NAID)
    130005149603
  • NII NACSIS-CAT ID (NCID)
    AN00032489
  • Text Lang
    JPN
  • Article Type
    journal article
  • Journal Type
    大学紀要
  • ISSN
    0030-1558
  • NDL Article ID
    027257896
  • NDL Call No.
    Z19-269
  • Data Source
    NDL  IR  J-STAGE 
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