A Case of Idiopathic Small Bowel Perforation.
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Accession number;03A0117080
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| Title;A Case of Idiopathic Small Bowel Perforation. |
| Author;
SUGIMOTO SEIICHIRO
(Ako Cent. Hosp.)
KAYANO KOICHI
(Ako Cent. Hosp.)
MIYAZAKI ITSUHIRO
(Ako Cent. Hosp.)
NISHIOKA SATOSHI
(Ako Cent. Hosp.)
UCHIDA HATSUZO
(Ako Cent. Hosp.)
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Journal Title;Journal of Japan Surgical Association
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Journal Code:Z0103A
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ISSN:1345-2843
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VOL.64;NO.1;PAGE.107-110(2003)
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| Figure&Table&Reference;FIG.6, TBL.1, REF.9 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Atraumatic small bowel perforations are relatively rare and their causes are monifold. We experienced and reported a rare case of idiopathic small bowel perforation. An 84-year-old man, who was performed a pancreaticoduodenectomy for gall bladder cancer at 82 years old, had tenderness and peritoneal signs throughout the abdomen. Chest and abdominal X-ray films did not reveal free gas and ileus. An abdominal CT scan showed intraperitoneal free air. An emergency laparotomy was performed with a diagnosis of panperitonitis. At the laparotomy, the perforation was comfirmed at the ileum locating 65cm from Bauhin's valve and a partial ileal resection was carried out. There were no signs of metastasis, recurrence, intraperitoneal adhesion or ileus. Histologically, mucosa, muscle and serosa layer were completely cleft and mucosa layer was not slided into serosal side, and malignant and chronic inflammatory lesions were not seen. The cause of perforation was not specified from any findings and he was definitely diagnosed as idiopathic small bowel perforation. The postoperative course of the patient was good, but he died of another disease on postoperative day 76th. (author abst.) |
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