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Japanese

Successful laparoscopic assisted repair of jejunal perforation and hemostasis of mesenteric hemorrhage following blunt abdominal trauma Goutaro KATSUNO 1 , Masaki FUKUNAGA 1 , Kunihiko NAGAKARI 1 , Masaru SUDA 1 , Seiichirou YOSHIKAWA 1 , Akio KIDOKORO 1 1Department of Surgery, Juntendou Urayasu Hospital Keyword: 小腸穿孔 , 腸管膜損傷 , 腹腔鏡下手術 pp.117-122
Published Date 2007/2/15
DOI https://doi.org/10.11477/mf.4426100022
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 We performed laparoscopically surgery for jejunal perforation and mesenteric hemorrhage following blunt abdominal trauma. The patient was a 59-year-old man. On admission, there were no signs of peritonitis, no abnormal laboratory data. Although CT examination showed a small amount of mesenterium hematoma in the left abdominal region, there was no suggestion of perforation. The patient complained of intermittent abdominal pain since the day of admission. A presumptive diagnosis of suspected perforative peritonitis or mesenteric hemorrhage was made and diagnostic laparoscopy was performed. In the abdominal cavity, jejunal perforation and mesenteric hemorrhage were observed. Laparoscopic assisted repair of jejunal perforation and hemostasis of mesenteric hemorrhage were performed. The patients was discharged 9 days after the operation. This laparoscopic technique may be safe and useful even in cases of emergency if it is possible to lavage the contaminated peritoneal cavity with saline sufficiently and keep good visualization under a stable cardiovascular condition, this laparoscopic technique may be safe and useful on a therapeutic level.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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