A Case of Small Bowel Ulcer Hemorrhage Caused by an Ileus Tube

DOI

Bibliographic Information

Other Title
  • イレウス管が誘因となった小腸潰瘍出血の1例

Search this article

Abstract

A 58-year-old man who had undergone abdominal surgery for tuberculous peritonitis developed abdominal pain and vomiting. Computed tomography revealed an adhesive intestinal obstruction without strangulation. We began conservative treatment by inserting an ileus tube, but the tube could not be passed beyond the upper jejunum, and decompression was insufficient. Seven days after admission, the abdominal pain increased, and surgery was performed. There was no intestinal necrosis, and we performed only an adhesiotomy. Two days later, we removed the ileus tube, but massive melena and hemorrhagic shock occurred later that night. Dynamic computed tomography revealed contrast extravasation at the upper jejunum, and thus a small bowel hemorrhage was diagnosed. We performed a jejunectomy, and hemostasis was achieved. Pathological examination revealed a non-specific ulcer with serosal inflammation and changes that were attributed to external force exerted by the ileus tube. This is the second report of a small bowel ulcer hemorrhage caused by an ileus tube, the risk of which we should be aware of during its insertion.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top