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Dissetion of Superior Mesenteric Artery which Required resection of a Large Amount of the Small Intestine and the Colon : A Case Report
http://hdl.handle.net/10087/5302
http://hdl.handle.net/10087/53022bccb66f-53f9-407d-84b6-1340d174da39
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
59_357.pdf (205.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2010-05-18 | |||||
| タイトル | ||||||
| タイトル | Dissetion of Superior Mesenteric Artery which Required resection of a Large Amount of the Small Intestine and the Colon : A Case Report | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | superior mesenteric artery | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | dissection | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | intestinal ischemia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | computed tomography | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | extensive bowel resection | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Kobayashi, Naouki
× Kobayashi, Naouki× Saito, Junichi× Nakamura, Tetsuya× Sagae, Santaro× Iwata, Kenji× Kurihara, Eiji× Ikeda, Toshiaki× Ueyama, Yoshito× Saito, Mitsuhiro× Horikawa, Hitomi× Muto, Hidetomo× Kawagoe, Kei× Kou, Kinsei× Ohgino, Yasuyuki× Okukubo, Lisa× Takahashi, Shinji |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Superior mesenteric artery (SMA) dissection is rare. We herein report about a case of SMA dissection which required resection of a large amount of the small intestine and the colon. A 59-year-old male with vague lower abdominal pain and diarrhea was admitted to our hospital. An erect abdominal X-ray showed niveau. His condition deteriorated and on the fifth day from the onset, an enhanced computed tomography (CT) revealed the SMA was dissected along 3 cm of its length from its origin, and the blood supply to the small intestine was shuttered in association with false lumen formation. Finally, the patient was necessitated an emergency surgery. A grayish ischemic small intestine and ascending colon were seen along with a moderate amount of ascites. The ischemic part of the intestine was resected. Pathological findings revealed coagulation necrosis with inflammatory cell infiltration, blood congestion, and hemorrhage. This coagulation necrosis was compatible with hemorrhagic necrosis due to intestinal ischemia. In conclusion, enhanced CT was available for detecting SMA dissection. If a patient with acute abdomen of unknown origin is encountered, SMA dissection should be ruled out, because ischemic intestine due to SMA occlusion is time-dependent and life-threatening. Furthermore, in the case of extensive bowel resection, the management of short bowel syndrome is thought to be essential. | |||||
| 書誌情報 |
The Kitakanto medical journal = 北関東医学 巻 59, 号 4, p. 357-360, 発行日 2009-11-01 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1343-2826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN10585677 | |||||
| フォーマット | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | application/pdf | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | 北関東医学会 | |||||
| 資源タイプ | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal Article | |||||
| 更新日 | ||||||
| 日付 | 2017-03-27 | |||||
| 日付タイプ | Created | |||||
