A Case of Perforated Meckel's Diverticulm with True Eneterolith Presenting with Acute Abdomen
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- UEDA Toyosaku
- Department of Surgery, Fuji City General Hospital
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- TSUBOI Kazuto
- Department of Surgery, Fuji City General Hospital
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- SATO Kazuhide
- Department of Surgery, Fuji City General Hospital
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- YOSHIMOTO Kazuhisa
- Department of Surgery, Fuji City General Hospital
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- KAJIMOTO Tetsuya
- Department of Surgery, Fuji City General Hospital
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- KASHIWAGI Hideyuki
- Department of Surgery, Fuji City General Hospital
Bibliographic Information
- Other Title
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- 急性腹症を呈した真性腸石を伴うMeckel憩室穿孔の1例
- キュウセイ フクショウ オ テイシタ シンセイ チョウセキ オ トモナウ Meckel ケイシツセンコウ ノ 1レイ
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Abstract
<p>A 39-year-old man presented with epigastralgia and vomiting. We diagnosed the case as acute gastroenteritis and initiated conservative therapy, however, his symptoms became worse. An abdominal CT scan conducted on the 2nd hospital day revealed a suspected diagnosis of perforation of Meckel's diverticulum associated with enterolith and so we performed an emergency operation. Laparoscopic observation of the peritoneal cavity showed collection of cloudy ascites and adhesions of the small intestine to the surrounding tissues. After dissection of the adhesions, the small bowel was mobilized outside of the body, when we confirmed a perforated diverticulum on the antimesenteric side of the small bowel locating about 100 cm proximal to the ileocecal valve. It appeared to be the Meckel's diverticulum. As the diverticulum was 4 cm in diameter and inflammation was also found to have infiltrated into the small intestine, we performed partial resection of the small intestine including the diverticulum. Histopathology revealed that ectopic tissues were absent in the diverticulum membrane but two enteroliths about 2 cm in diameter were present within the resected diverticulum. As a result of components analysis of the enteroliths, they were found to be calcium oxalate calculus Since perforated Meckel's diverticulum associated with true enteroliths has rarely been reported, we present our case with some bibliographic comments.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 82 (11), 1983-1988, 2021
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390292240176037888
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- NII Article ID
- 40022760247
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 031850388
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed