Enokida Kohei, Kikuyama Masataka, Kurokami Takafumi, Shirane Naofumi, Aoyama Haruna, Aoyama Hiroyuki, Sato Tatsunori, Taki Yusuke
Department of Gastroenterology, Shizuoka General Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2015 Oct;112(10):1836-42. doi: 10.11405/nisshoshi.112.1836.
A 75-year-old man with vomiting and right abdominal pain was admitted to the Department of Surgery in our hospital. With a diagnosis of perforated duodenal ulcer, he was treated conservatively. On the day 8 of hospitalization, his general condition worsened and he underwent surgery. During operation, the perforated duodenal ulcer and paraduodenal fluid collection was observed, and percutaneous drainage was accordingly established. After this procedure, renal dysfunction was exacerbated and he was transferred to our department for endoscopic treatment. On day 28 of hospitalization, nasobiliary and nasopancreatic drainage was administered. Renal dysfunction gradually improved, and healing of the perforated duodenal ulcer was recognized on day 93. On day 112, the patient was discharged.
一名75岁男性因呕吐和右腹痛入住我院外科。诊断为十二指肠溃疡穿孔，接受保守治疗。住院第8天，他的一般状况恶化，接受了手术。手术中，观察到十二指肠溃疡穿孔和十二指肠旁积液，并相应地进行了经皮引流。此操作后，肾功能恶化，他被转入我科接受内镜治疗。住院第28天，进行了鼻胆管和鼻胰管引流。肾功能逐渐改善，十二指肠溃疡穿孔在第93天愈合。第112天，患者出院。
