Japanese

Title	胆嚢十二指腸瘻からの複数胆石の嵌頓で発症した胆石性イレウスの1例
Subtitle	第115回 日本消化器内視鏡学会関東支部例会論文集 B論文 症例
Authors	金子由佳, 横堀将一, 芦川智久, 中野悠, 佐藤陽香, 普天間朝久, 江川隆英, 田中志尚, 金城美幸, 小馬瀬一樹, 田邊陽子, 新井勝春, 鈴木秀明, 渡邊秀樹
Authors (kana)
Organization	横須賀共済病院 消化器内科
Journal	Progress of Digestive Endoscopy（2001年から）
Volume	102
Number	1
Page	95-97
Year/Month	2023 /
Article	報告
Publisher	日本消化器内視鏡学会関東支部会
Abstract	「症例」患者: 68歳 男性 主訴: 腹痛, 嘔吐 既往歴: 虫垂炎術後, 腰椎ヘルニア術後, 胃潰瘍 内服歴: なし 生活歴: 飲酒歴 焼酎2杯, 週4回, 喫煙歴 20本/日 20歳から52歳 現病歴: 食思不振と心窩部の不快感, 水様性嘔吐を認め, 救急外来を受診された. 腹部骨盤造影CTで十二指腸水平脚に球形腫瘤を認め, 口側腸管が拡張していた. 胆道内のガスと胆嚢内に同様の腫瘤を認め, 胆石性イレウスを疑い入院となった. 入院時現症: 身長170cm, 体重86kg, 体温36.1℃, 血圧132/73mmHg, 脈拍77回/分, 整, 意識清明, 腹部 膨満 軟 圧痛を腹部全体に認める 反跳痛なし 入院時検査所見: 血中CRP値の上昇を認めたが, 白血球の上昇はなく腸管虚血を示唆する所見はなかった. 腹部骨盤造影CT: 十二指腸水平脚に26×30mm大の石灰化を伴う球形腫瘤を認めた.
Practice	臨床医学：内科系
Keywords	胆石性イレウス, 胆嚢十二指腸瘻

English

Title	A case of gallstone ileus caused by obstruction of some gallstones with a cholecystoduodenal fistula
Subtitle
Authors	Yuka Kaneko, Shoichi Yokobori, Tomohisa Ashikawa, Yu Nakano, Haruka Sato, Tomohisa Futenma, Takahide Egawa, Yukinao Tanaka, Miyuki Kaneshiro, Kazuki Komase, Yoko Tanabe, Katsuharu Arai, Hideaki Suzuki, Hideki Watanabe
Authors (kana)
Organization	Department of Gastroenterology, Yokosuka Kyosai Hospital
Journal	Progress of Digestive Endoscopy
Volume	102
Number	1
Page	95-97
Year/Month	2023 /
Article	Report
Publisher	Japan Gastroenterological Endoscopy Society Kanto Chapter
Abstract	A 68-year-old man was admitted to our hospital due to abdominal pain and nausea. Abdominal computed tomography showed the 30 mm gallstone obstructed the transverse part of the duodenum. Therefore, gallstone ileus with a cholecystoduodenal fistula was diagnosed. During treatment, the 32 mm stone in the gallbladder moved to the transverse part of the duodenum. We tried to crush and remove the stones using mechanical lithotripsy, however the procedure was unsuccessful. Therefore, a laparoscopic surgery was performed, and approximately two 45 mm gallstones were removed from the ileum. Considering the size and number of stuck gallstones, this case is difficult to remove the gallstones with endoscopic treatment. Here, we describe the treatment of the gallstone ileus with a cholecystoduodenal fistula, with a review of the literature.
Practice	Clinical internal medicine
Keywords

• 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。

参考文献