A Case of Ischemic Stenosis of the Small Intestine after Cardiopulmonary Arrest

SHINZATO Chiaki, SAKAGUCHI Yoshihisa, UEHARA Hideo, HASHIMOTO Kenkichi, KUSUMOTO Tetsuya, IKEJIRI Kouji

doi:10.3919/jjsa.79.781

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心肺停止蘇生後の虚血性小腸炎による小腸狭窄の1例
症例心肺停止蘇生後の虚血性小腸炎による小腸狭窄の1例
ショウレイシンハイテイシソセイゴノキョケツセイショウチョウエンニヨルショウチョウキョウサクノ 1レイ

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Abstract

A 50-year-old woman fell into cardiopulmonary arrest (CPA) due to asthmatic seizure attack, but she was successfully resuscitated by intensive treatment. Thereafter, she had suffered from abdominal pain and diarrhea for a long time, and she was diagnosed with enteritis with multiple ulcers. Because conservative treatment was unsuccesful and the examinations showed severe stenosis of the small intestine, laparoscopic resection of the small intestine was performed 16 months after CPA. There were two stenotic sites in the small intestine about 280 cm distant from the Treitz ligament. We resected an 80-cm long portion of the small intestine including the stenotic sites and severely dilated bowel proximal to the sites. Pathological examination presented stricture type of ischemic enteritis. Based on the clinical and pathological findings, we speculated that an ischemic event occurred in the small intestine during CPA that caused the stenosis. This rare case of stenosis of the small intestine due to ischemic enteritis after CPA is presented 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) 79 (4), 781-786, 2018

Japan Surgical Association

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