ISCHEMIC STENOSIS OF THE SMALL INTESTINE-REPORT OF A CASE

Autor:	Saburo Misaki, Shiho Sugimori, Hiroshige Nakano, Toru Okumura, Tomohide Mukogawa
Rok vydání:	2000
Předmět:	Abdominal pain medicine.medical_specialty Ileus business.industry Arteriosclerosis Hypervascularity medicine.disease Small intestine Surgery Stenosis Cecum medicine.anatomical_structure medicine medicine.symptom business Barium enema
Zdroj:	Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 61:675-679
ISSN:	1882-5133 1345-2843
Popis:	We reported a recent case of ischemic stenosis of the small intestine. A 74-year-old man visited our hospital complaining of appetite loss and abdominal pain in September 1996. A diagnosis of ileus was determined and he underwent conservative therapy on admission. Although the ileus symptoms improved at once, his condition worsened with oral intake of food. Barium enema examination revealed complete obstruction of the cecum, so he was referred to the surgical department. At operation, severe stenosis of about 10cm in length was found at the terminal ileum. Intestinal tuberculosis was surmised, and ileocecal resection was performed because of his past history of lung tuberculosis. Histological examination showed Ul-II and Ul-III ulcer in the narrowed resected segment, with marked infiltration of inflammatory cells in the mucosa, hypervascularity, hyperemia and fibrosis in the submucosal layer, so a diagnosis of ischemic stenosis of the small intestine was determined. We considered arteriosclerosis, disturbance of venous blood flow and dehydration to be the ischemic factors in this case.
Databáze:	OpenAIRE
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