Meckel’s diverticulum presenting with excessive intraperitoneal hemorrhage which was detected by diagnostic laparoscopy: A case report
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- MUROTANI Tomotaka
- Department of Surgery, Japanese Red Cross Wakayama Medical Center Department of Trauma Emergency, Japanese Red Cross Wakayama Medical Center Department of Emergency Medicine, Japanese Red Cross Wakayama Medical Center Department of Intensive Care, Japanese Red Cross Wakayama Medical Center
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- TERAWAKI Hyoma
- Department of Surgery, Japanese Red Cross Wakayama Medical Center
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- INADA Maiko
- Department of Emergency Medicine, Japanese Red Cross Wakayama Medical Center Department of Intensive Care, Japanese Red Cross Wakayama Medical Center
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- HIGASHIDE Yasuhiro
- Department of Surgery, Japanese Red Cross Wakayama Medical Center Department of Intensive Care, Japanese Red Cross Wakayama Medical Center
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- KORENAGA Akira
- Department of Intensive Care, Japanese Red Cross Wakayama Medical Center
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- KOREEDA Daisuke
- Department of Intensive Care, Japanese Red Cross Wakayama Medical Center
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- HIGASHI Hidenori
- Department of Emergency Medicine, Japanese Red Cross Wakayama Medical Center
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- KUBO Mayu
- Department of Emergency Medicine, Japanese Red Cross Wakayama Medical Center
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- HAMASAKI Toshiaki
- Department of Emergency Medicine, Japanese Red Cross Wakayama Medical Center
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- UYAMA Shiro
- Department of Surgery, Japanese Red Cross Wakayama Medical Center Department of Trauma Emergency, Japanese Red Cross Wakayama Medical Center
Bibliographic Information
- Other Title
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- 診断的腹腔鏡検査が有用であった大量腹腔内出血をきたしたMeckel憩室の1例
- シンダンテキ フククウキョウ ケンサ ガ ユウヨウ デ アッタ タイリョウ フクコウ ナイシュッケツ オ キタシタ Meckel ケイシツ ノ 1レイ
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Abstract
<p>症例は16歳男性で,徐々に増悪した心窩部痛および下腹部痛を主訴に前医より紹介され当院救急外来を受診した。造影CT検査では,短時間で急激に増加した多量の腹水と下腹部に拡張した小腸を認めた。しかしながら画像検査結果のみでは確定診断に至らず,緊急で診断的腹腔鏡検査を施行した。その結果,多量の腹腔内出血を伴い著明に腫大したMeckel憩室の穿孔所見を認めたため,引き続いて腹腔鏡補助下に切除した。Meckel憩室の合併症は一般的に腸閉塞,憩室炎,腸重積,潰瘍およびそれらに伴う下血などが多いとされるが,多量の腹腔内出血をきたす症例はまれであり,自験例でも診断に苦慮した。今回われわれは,腹腔内出血で発症したMeckel憩室に対し診断的腹腔鏡検査にて確定診断し,引き続いて腹腔鏡補助下に治療できた1例を経験したため文献的考察を加えて報告する。 </p>
Journal
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- Journal of Japanese Society for Emergency Medicine
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Journal of Japanese Society for Emergency Medicine 24 (3), 434-438, 2021-06-30
Japanese Society for Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390851485574522112
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- NII Article ID
- 130008059630
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- NII Book ID
- AA1124939X
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- ISSN
- 21879001
- 13450581
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- NDL BIB ID
- 031777224
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed