JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

A case of small intestine type Chilaiditi syndrome treated with laparoscopic surgery Hirotake ABE 1 , Yoshihiro MURAKAMI 1 , Takenori KUBOTA 1 , Koji HONTANI 1 , Yuji SASAMURA 1 , Masaaki NENOHI 1 1Department of Surgery, Asahikawa City Hospital Keyword: Chilaiditi症候群 , 腸閉塞 , 腹腔鏡下腸閉塞解除術 pp.386-390
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200731
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 An 84-year-old woman was referred to our institute after being treated for nausea and vomiting at a nearby clinic. After various examinations, the patient was diagnosed as having intestinal obstruction accompanied by small intestine type Chilaiditi syndrome and conservative treatment was performed by placing long intestinal tube. Although abdominal symptoms improved, intestinal obstruction continued. On day 7 of the disease, we performed laparoscopic surgery to release the intestinal obstruction. The stenosis of the small intestine occurred due to strangulation of the liver surface. The strangulation was cut off and intestinal obstruction was released. Because there was no ischemia, intestinal resection was unnecessary. The patient was discharged on postoperative day 6. Chilaiditi syndrome of the small intestine type is rare and may lead to strangulated intestinal obstruction. In many of the previous reports, open surgery was performed to release the intestinal obstruction. We experienced a case which could be treated laparoscopically by preoperative diagnosis and decompression treatment. The case is discussed with literature review.


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基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
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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