Tanaka Hideyuki, Doi Koichi, Ogawa Katsuhiro, Yagi Taisuke, Umesaki Naoki, Ozaki Nobuyuki, Hayashi Hiromitsu, Ikuta Yoshiaki, Ogata Kenichi, Takamori Hiroshi
Dept. of Surgery, Saiseikai Kumamoto Hospital.
Gan To Kagaku Ryoho. 2016 Nov;43(12):1902-1904.
An 81-year-old woman who had undergone laparoscopic distal gastrectomy complained of abdominal pain 21 days after the operation.Blood tests showed a strong inflammatory reaction.Abdominal CT revealed a perforation in the small intestinal diverticula.Partial jejunectomy including the diverticulum was performed.The diverticular perforation was attributed to the presence of undigested food in the diverticulum.The patient had an uneventful postoperative course, and she was discharged on postoperative day 32.
一名81岁接受了腹腔镜远端胃切除术的女性在术后21天出现腹痛。血液检查显示有强烈的炎症反应。腹部CT显示小肠憩室穿孔。进行了包括憩室在内的部分空肠切除术。憩室穿孔归因于憩室内存在未消化的食物。患者术后恢复顺利,于术后第32天出院。