書誌事項
- タイトル別名
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- A CASE OF SMALL BOWEL VOLVULUS PROBABLY CAUSED BY A MESENTERIC CYST IN AN ADULT
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Secondary volvulus of the small intestine is a rare entity and most cases are caused by malrotation or adhesion. This time we experienced a case of small bowel volvulus probably caused by a mesenteric cyst.<br> A 67-year-old woman complaining of the sudden onset of severe abdominal pain after dinner was found to have severe tenderness of the diffusely distended abdomen with peritoneal sign. Plain X-ray of the abdomen showed multiple air-fluid levels in the dilated small intestine. Abdominal CT scan showed a “whirl sign” in the small intestine loops around the superior mesenteric artery and a fist-sized cystic tumor. Emergency laparotomy conducted 5 hours after the onset under a diagnosis of strangulation ileus with mesenteroaxic torsion revealed no ischemic changes on the bowel twisted clockwise by 900°, and a fist-sized mesenteric cyst several centimeter caudal side from the volvulus. The cyst might cause the volvulus. After detorsion, the mesenteric cyst was resected without bowel resection. The resected material was a 95×75mm unilocular cyst. The histopathological diagnosis was mesenteric cyst. The patient was discharged from the hospital on the 8th postoperative day. There have been no signs of recurrence as of 9 months after the operation.<br> Reports of secondary small bowel volvulus in adults are few. Abdominal CT is thus useful in early diagnosis.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 66 (4), 853-856, 2005
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679825855232
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- NII論文ID
- 10015502171
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可