Journal of Okayama Medical Association
Published by Okayama Medical Association

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横行結腸憩室穿通による腸間膜膿瘍に対して手術を施行した2症例

Maeda, Naoaki
Kondo, Hidenori
Thumnail 125_235.pdf 1.82 MB
Abstract
We encountered 2 cases of penetration of fecal matter through a diverticulum of the transverse colon, which is a rare disease. Case 1 was a 33-year-old man who was examined in the clinic with a complaint of epigastralgia. Tenderness and muscular defense were found in the upper abdomen. On abdominal CT examination, wall thickening and increased fat concentration were seen in the transverse colon. He was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon close to the liver curvature. The patient was diagnosed with mesenteric abscess due to penetration of fecal matter through a diverticulum of the transverse colon. Right hemicolectomy was carried out. Case 2 was a 43-year-old woman who was examined in the clinic with a complaint of right lower abdominal pain. Muscular defense and rebound tenderness were found in the lower abdomen. On abdominal CT examination, abscess formation was seen in the right lower abdomen. She was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon. The patient was diagnosed with mesenteric abscess due to penetration of the transverse colon associated with a diverticulum. Partial removal of the transverse colon was carried out.
Keywords
横行結腸憩室(transverse colon diverticulum)
腸間膜内穿通(mesenteric penetration)
腸間膜膿瘍(mesenteric abscess)
Note
症例報告 (Case Reports)
ISSN
0030-1558
NCID
AN00032489
DOI