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フルテキストURLB030051000505.pdf ( 536.6KB ) 公開日 2010-04-19
タイトル回腸の穿孔性腹膜炎にて初めて診断されたCrohn病の1例
タイトルヨミカイチョウ ノ センコウセイ フクマクエン ニテ ハジメテ シンダンサレタ Crohnビョウ ノ 1レイ
タイトル別表記A case of crohn's disease presented with perforative peritonitis in the ileum
作成者足立, 淳
得能, 和久
高野, 尚文
下田, 宏二
内山, 哲史
村上, 卓夫
権藤, 俊一
作成者ヨミアダチ, アツシ
トクノウ, ヒサミチ
タカノ, ナオフミ
シモダ, コウジ
ウチヤマ, テツジ
ムラカミ, タクオ
ゴンドウ, トシカズ
作成者別表記Adachi, Atsushi
Tokunou, Hisamichi
Takano, Naofumi
Shimoda, Kouji
Uchiyama, Tetsuji
Murakami, Takuo
Gondo, Toshikazu
作成者所属山口大学医学部
内容記述(抄録等)A 23-year-old man was admitted to our hospital because of acute onset of severe lower abdominal pain. The laboratory date showed anemia, elevated WBC with left shift and elevated CRP. Abdominal radiograph and computed tomography showed edema of the ternimal ileum but no free air. Severe tenderness, rebound soreness and muscular defence were present in the abdomen. An emergency operation was performed under the diagnosis of perforative peritonitis of the gastrointestinal tract. A perforation measuring 2mm in diameter was found in the mesenteric border of the terminal ileum 30cm orally from the ileocecal junction. A 60-cm segment of the ileum, including the perforated lesion and the skip lesion was resected and end-to-end anastomosis was performed. The resected specimen showed many longitudinal ulcers and cobble stone appearance. Crohns disease was histologically diagnosed by the findings of the intestine with trasmural inflammation and non-caseous granuloma. The postoperative course was uneventful, and the patient was discharged 18 days after the surgery. Perforative peritonitis due to Crohn's disease is relatively rare but should be included in the differential diagnosis as a probable cause of acute abdomen.
本文言語jpn
著者キーワードCrohn病
穿孔性腹膜炎
主題医学
資料タイプtext
ファイル形式application/pdf
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
51
5
開始ページ177
終了ページ181
発行日2002-10
関連情報URL(IsVersionOf)http://ci.nii.ac.jp/naid/110002773754/
権利関係本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである
著者版/出版社版出版社版
リポジトリIDB030051000505
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030051000505