Bowel Obstruction due to a Gallstone in the Second Portion of the Duodenum—A Case Report—
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- KOZU Takumi
- Department of Surgery, Otsu Red Cross Hospital
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- IKENO Yoshinobu
- Department of Surgery, Otsu Red Cross Hospital
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- ATAKA Ryo
- Department of Surgery, Otsu Red Cross Hospital
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- TAGA Ryo
- Department of Surgery, Otsu Red Cross Hospital
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- MATSUBAYASHI Jyun
- Department of Surgery, Otsu Red Cross Hospital
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- HIROSE Tetsuro
- Department of Surgery, Otsu Red Cross Hospital
Bibliographic Information
- Other Title
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- 十二指腸下行脚に嵌頓した胆石イレウスの1例
- ジュウニシチョウ カコウキャク ニ カントンシタ タンセキ イレウス ノ 1レイ
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Abstract
<p>A 93-year-old woman was admitted to the hospital because of vomiting. Abdominal computed tomography showed a cholecystoduodenal fistula and a 55-mm gallstone in the second portion of the duodenum. Upper gastrointestinal endoscopy showed the impacted gallstone in the second portion of the duodenum, but its endoscopic extraction was unsuccessful. Five days after admission, surgery was performed. An attempt was made to move the impacted gallstone in the second portion of the duodenum to the distal side, but it only moved to the third portion. Finally, the gallstone was removed by opening the wall of the third portion of the duodenum, Primary closure was performed with gastrojejunostomy for decompression. A case of bowel obstruction in the duodenum due to a gallstone is relatively rare, and the treatment strategy for them has not been established. Gallstone ileus most often occurs in elderly patients ; therefore, in the case of obstruction of the duodenum by gallstone, it is necessary to determine the treatment strategy for each case based on each patient's general condition, comorbid diseases, and impacted site.</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) 83 (6), 1141-1146, 2022
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390294643561936640
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 032264714
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed