Intra-Abdominal Abscess from a Perforated Small Intestine

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  • 原因不明小腸穿孔による限局性腹腔内膿瘍の1例

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A 53-year-old man demonstrated a repeatedly recurring localized intra-abdominal abscesses, despite abscess drainage treatment performed several times during the previous year. Because of the unidentified origin of these abscesses, a barium x-ray study of the small intestine was performed and a perforation of the ileum to the abscess cavity was demonstrated, based on which the patient was treated surgically and the perforated portion of the ileum was sutured and closed primarily. The genesis of the ileal perforation, however, was not identified at surgery, because there were no detectable pathological changes such as diverticula, foreign bodies aberration, or inflammatory changes of the intestine. We concluded that in this case, a tiny perforation of the ileum occurred primarily due to an unknown etiology and then secondary intra-abdominal absceses occurred due to that ileal perforation.

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