Kashimoto Kingo, Koike Hiroshi, Itokawa Yoshiki, Nakata Masashi
Dept. of Gastroenterological Surgery, Kyoto Yamashiro General Medical Center.
Gan To Kagaku Ryoho. 2020 Mar;47(3):522-524.
The patient was a 38-year-old woman who visited our hospital with a chief complaint of abdominal pain. She was diagnosed with strangulation ileus and was subsequently admitted to our hospital to undergo surgery. During the surgical procedure, we observed mucus adhesion accumulating within the peritoneal cavity and identified strangulation ileus resulting from a cord-like structure. We did not observe intestinal necrosis. Given that the appendix was swollen, we made the diagnosis of strangulation ileus caused by pseudomyxoma peritonei of appendiceal origin and performed ileocolic resection. The patient recovered well postoperatively and was discharged on postoperative day 9. Pseudomyxoma peritonei is often diagnosed in patients who present with ascites, abdominal swelling, or appendicitis. This is the first case report of pseudomyxoma peritonei diagnosed in a patient with strangulation ileus.
患者为一名38岁女性，因腹痛为主诉前来我院就诊。她被诊断为绞窄性肠梗阻，随后入院接受手术。在手术过程中，我们观察到腹腔内有黏液粘连积聚，并确定是由条索状结构导致的绞窄性肠梗阻。我们未观察到肠坏死。鉴于阑尾肿胀，我们诊断为由阑尾源性腹膜假黏液瘤引起的绞窄性肠梗阻，并进行了回结肠切除术。患者术后恢复良好，于术后第9天出院。腹膜假黏液瘤常被诊断于出现腹水、腹部肿胀或阑尾炎的患者中。这是首例在绞窄性肠梗阻患者中诊断出腹膜假黏液瘤的病例报告。
