Two Cases of Segmental Dilatation of the Intestine

Terui Keita, Yoshida Hideo, Matsunaga Tadashi, Kouchi Katsunori, Ohtsuka Yasuhiro, Kuroda Hiroaki, Hishiki Tomoro, Saitou Takeshi, Satou Yoshiharu, Ohnuma Naomi

doi:10.11164/jjsps.38.5_782

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Other Title

限局性腸管拡張症の 2 例

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Abstract

Purpose : We report two cases of segmental dilatation of intestine (SDI) that presented with different pathological findings. We will discuss the etiology of SDI. Method and Result : Case 1 was a 6-month-old boy with history of bilious vomiting. Laparotomy findings demonstrated segmental dilatation of the jejunum, and resection and end-to-end anastomosis were subsequently performed. No extrinsic obstruction or abnormal pathological findings were found. Case 2 was a 9-year-old boy with a 6-day history of intermittent abdominal pain and bilious vomiting. Laparotomy findings demonstrated a dilated ileum and its volvulus, and resection and end-to-end anastomosis were performed. Pathological findings of the dilated ileum demonstrated a thinness of the muscle layer and focal defect of the sub-mucosal layer. We concluded that this had weakened the intestinal wall and thus had led to SDI. The etiology of SDI remains unknown and several possibilities have been suggested. In the literature to date, 63 cases of SDI have been reported, and in each case, the laparotomy findings appear to be attributable to a unique etiology. Conclusion : The concept of SDI includes several different etiologies.

Journal

Journal of the Japanese Society of Pediatric Surgeons

Journal of the Japanese Society of Pediatric Surgeons 38 (5), 782-786, 2002

The Japanese Society of Pediatric Surgeons

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Details 詳細情報について

CRID: 1390001204820533888

NII Article ID: 110002114056

NII Book ID: AN00192281

DOI: 10.11164/jjsps.38.5_782

ISSN: 21874247; 0288609X

Web Site: https://search.jamas.or.jp/link/ui/2003096270

Text Lang: ja

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JaLC
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