A Case Report of Transverse Colonic Volvulus Occurred in a Patient with Schizophrenia
-
- TANABE Kazutaka
- Department of Surgery, Graduate School of Medicine Kyoto University
-
- TAKEDA Hiroshi
- Department of Surgery, Shimane Prefectural Central Hospital
-
- TOKUKA Atsuo
- Department of Surgery, Shimane Prefectural Central Hospital
-
- KAGEYAMA Shoichi
- Department of Surgery, Graduate School of Medicine Kyoto University
-
- OZAKI Nobuhiro
- Department of Surgery, Okinawa Prefectural Yaeyama Hospital
Bibliographic Information
- Other Title
-
- 統合失調症に併発した横行結腸軸捻の1例
- 症例 統合失調症に併発した横行結腸軸捻の1例
- ショウレイ トウゴウ シッチョウショウ ニ ヘイハツ シタ オウコウ ケッチョウジクネン ノ 1レイ
Search this article
Abstract
A 61-year-old woman hospitalized for schizophrenia consulted our hospital because of aggravation of abdominal pain lasting for 3 days. Blood analysis revealed severe leukocytosis and an elevated level of CRP. Contrast-enhanced abdominal CT scan showed marked dilatation of the transverse colon. Volvulus of the transverse colon was suspected. Since we judged that the medical repositioning might entail a high risk of inducing perforation, we performed an emergency surgery. Operative findings included that the transverse colon showed necrotic changes for almost full length and moderate amount of hemorrhagic ascites was accumulated. We performed transverse colectomy and functional end to end stapled anastomosis. Postoperative progress was good, and she was transferred to the psychiatric hospital 10 days after the operation. Colonic volvulus accounts for approximately 3% of all colorectal mechanical obstructions. Moreover transverse colonic volvulus is rare, because 90% of colonic volvuli affect the sigmoid colon. In our case, transverse colonic volvulus developed in this patient during hospitalization for schizophrenia. Since she had been suffering from chronic constipation due to administration of plural psychotropic drugs, bowel motility disorder was considered to be an onset factor of colonic volvulus. Fortunately postoperative progress was good by colectomy and primary reconstructive surgery in our case. It is important for this disease to choice the appropriate therapeutics based on etiology. We report a case of transverse colonic volvulus with schizophrenia with a review of the literature.
Journal
-
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
-
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 75 (3), 731-736, 2014
Japan Surgical Association
- Tweet
Details 詳細情報について
-
- CRID
- 1390282679830160512
-
- NII Article ID
- 130004696558
-
- NII Book ID
- AA11189709
-
- ISSN
- 18825133
- 13452843
-
- NDL BIB ID
- 030744956
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed