書誌事項
- タイトル別名
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- A CASE OF GALLSTONE ILEUS AND REVIEW OF CUMULATED 130 CASES IN THE JAPANESE LITERATURE
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Gallstone ileus is a rare complication of cholelithiasis, which has been supposed to be difficult to diagnose preoperatively. This paper describes a case of gallstone ileus successfully diagnosed preoperatively, with a review of 130 cases in the Japanese literature for the last 11 years.<br> A 79-year-old woman was hespitalized into the hospital because of abdominal pain. Abdominal simple X-ray films revealed that an oval-shaped calcificated gallstone passed into the upper intestine, and several days later, it packed into the ileum and caused obstruction of the ileum. Laparotomy was performed under a diagnosis of gallstone ileus 24 days after admission. The impacted stone (5×3cm) was removed through enterotomy and no biliary radical operation was carried out.<br> It is known that this disease has been first diagnosed at laparotomy in most cases with a high operative mortality. Cumulated 130 cases reported in the Japanese literature since 1980, however, has indicated that the preoperative correct diagnosing rate is increasing and operative deaths are decreasing.
収録刊行物
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- 日本臨床外科医学会雑誌
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日本臨床外科医学会雑誌 54 (8), 2150-2154, 1993
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680282926336
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- NII論文ID
- 130003598836
- 50003853428
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- ISSN
- 21892075
- 03869776
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- データソース種別
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- JaLC
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- 使用不可