Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
術前検査で興味深い画像所見を呈し,腹腔鏡下手術により解除し得た回腸軸捻転症の1例を報告する.症例は74歳,女性.胃全摘術の既往がある.今回,他疾患にて当院内科入院中に腹痛を訴え,ソーセージ状の腹部腫瘤を触知された.造影CT・血管造影で腫瘤は捻転した回腸と診断し,腹腔鏡下に手術を施行した.回腸は時計軸方向に捻転し,腸間膜は術前に診断したように腫瘤を形成していた.小腸を回盲部から逆行性にたどることにより捻転を解除し得た.術後,症状は軽快し翌日からの経口摂取が可能となった.腹腔鏡下手術は,このような術前診断の困難な症例の確定診断・治療にきわめて有用な手段であると考えられた.
A 77-year old woman was admitted because of abdominal pain and vomiting. Ten years before admission, she had a history of total gastrectomy for gastric cancer. An elastic-soft movable tumor, shaped like a sausage, was palpated in her mid-abdomen. On plain CT, the tumor presented a doughnut-like appearance that was diagnosed as intussusception. No disturbance in the passage of the entire intestine was, however, not detected by intestinography. A clockwise rotation of the mesenteric arterial branches was revealed by enhanced CT and superior mesenteric arteriography.
Copyright © 2000, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.