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Laparoscopic-assisted surgery for seed-induced small bowel obstruction with radiation enteritis : A case report Yuhei KITASATO 1 , Taro ISOBE 1 , Hideki KAMEI 1 , Minoru SUZUKI 2 , Masafumi YASUNAGA 1 , Yoshito AKAGI 1 1Department of Surgery, Kurume University School of Medicine 2Department of Surgery, Asakura Medical Association Hospital Keyword: 食餌性イレウス , 梅種子 , 放射線性腸炎 pp.839-845
Published Date 2016/11/15
DOI https://doi.org/10.11477/mf.4426200340
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An 89-year-old woman with nausea and abdominal pain was hospitalized for small bowel obstruction. She had a past history of radiation therapy for uterine cancer. Abdominal enhanced computed tomography showed distended small intestine with wall thickening and a well-defined, round, and concentric high/ low density mass. Small bowel obstruction due to ingested Japanese apricot seed was diagnosed from medical histories. Because the symptoms did not improve with conservative treatment, operation was performed on the 17th day of hospitalization. Intraoperative findings revealed reddened and edematous intestine. A hard foreign body was palpable at the oral side of the narrowed lesion, and segmental resection including this site was performed. A hard foreign body was found to be a Japanese apricot seed. Pathologic findings showed a slight ulcer in the narrow segment. Collagen deposition and hyalinization were observed in the submucosa. These findings were consistent with the late effect of radiation, resulting in intestinal stenosis.


Copyright © 2016, 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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