Kota SUGIURA, Gen SUGAWARA, Yasuhiro KURUMIYA, Ei SEKOGUCHI, Masaya INOUE, Takehiro KATO
症例は87歳，女性．吐血と黒色便で当院へ救急搬送された．上部消化管内視鏡検査でMallory-Weiss症候群と診断した．内視鏡後のCTで脾周囲を中心としたCT値の高い腹水貯留とupside down stomach（UDS）を認め，腹腔内出血を疑い緊急手術を施行した．開腹すると胃脾間膜からの出血を認めたので縫合止血し，食道裂孔ヘルニアの修復を行った．術後は脳梗塞を合併したが，ヘルニアの再発なくリハビリ施設へ転院した．自験例では，UDSにより胃脾間膜に過度の進展がかかった状態で，嘔吐や内視鏡操作による物理的刺激が加わり，胃脾間膜から出血したと考えられた．食道裂孔ヘルニアに腹腔内出血を合併した報告は稀であり，文献的考察を加えて報告する．
病例87岁，女性。因吐血和黑便被紧急送往本院。通过上消化道内窥镜检查，确诊为Mallory-Weiss综合征。内窥镜后的CT显示，以脾周围为中心的CT值为高腹水潴留和upside down stomach (UDS)，怀疑腹腔出血，实施了紧急手术。开腹后发现胃脾间膜出血，缝合止血，修复了食道裂孔疝。术后虽然合并了脑梗塞，但疝气没有复发，转院到了康复机构。在自验案例中，UDS导致胃脾间膜过度发育，加上呕吐和内窥镜操作引起的物理性刺激，导致胃脾间膜出血。食道裂孔疝合并腹腔内出血的报告很少，应加以文献性考察报告。
{"title":"腹腔内出血をきたしたupside down stomachの1例","authors":"Kota SUGIURA, Gen SUGAWARA, Yasuhiro KURUMIYA, Ei SEKOGUCHI, Masaya INOUE, Takehiro KATO","doi":"10.3919/jjsa.84.569","DOIUrl":"https://doi.org/10.3919/jjsa.84.569","url":null,"abstract":"症例は87歳，女性．吐血と黒色便で当院へ救急搬送された．上部消化管内視鏡検査でMallory-Weiss症候群と診断した．内視鏡後のCTで脾周囲を中心としたCT値の高い腹水貯留とupside down stomach（UDS）を認め，腹腔内出血を疑い緊急手術を施行した．開腹すると胃脾間膜からの出血を認めたので縫合止血し，食道裂孔ヘルニアの修復を行った．術後は脳梗塞を合併したが，ヘルニアの再発なくリハビリ施設へ転院した．自験例では，UDSにより胃脾間膜に過度の進展がかかった状態で，嘔吐や内視鏡操作による物理的刺激が加わり，胃脾間膜から出血したと考えられた．食道裂孔ヘルニアに腹腔内出血を合併した報告は稀であり，文献的考察を加えて報告する．","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Small Bowel Obstruction Presumably Caused by a Falled Enterolith which was Formed in Paraduodenal Papillary Diverticulum—Report of a Case—","authors":"Akihiro SEKIMOTO, Hideo MIYAKE, Hidemasa NAGAI, Yuichiro YOSHIOKA, Koji SHIBATA, Ryosuke KAWAI","doi":"10.3919/jjsa.84.596","DOIUrl":"https://doi.org/10.3919/jjsa.84.596","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135313275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Three-staged Surgery of Thoracic Esophageal Cancer with a Synchronous Liver Tumor and Oropharyngeal Cancer—A Case Report—","authors":"Nobuto YAMAZAKI, Shiko SEKI, Takehiro SHIMADA, Yoshiki KAWAGUCHI, Hidejirou URAKAMI, Mami HATANO, Yuya MURATA","doi":"10.3919/jjsa.84.560","DOIUrl":"https://doi.org/10.3919/jjsa.84.560","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135317840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"75歳以上の原発性乳癌に対する局所麻酔下手術","authors":"H. Matsuzaki, H. Sakata, T. Aoyagi, M. Namura","doi":"10.3919/jjsa.84.231","DOIUrl":"https://doi.org/10.3919/jjsa.84.231","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74989635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takumi Hamada, K. Ogasawara, Naoki Okada, Yui Ishiguro, T. Nakagawa, H. Okada
{"title":"A Case of Right Breast Cancer Diagnosed with Malignant Adenomyoepithelioma after Resection of the Metastases","authors":"Takumi Hamada, K. Ogasawara, Naoki Okada, Yui Ishiguro, T. Nakagawa, H. Okada","doi":"10.3919/jjsa.84.257","DOIUrl":"https://doi.org/10.3919/jjsa.84.257","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82111714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Takuma Karasuyama, Y. Asao, Siyuan Yao, H. Kojima, O. Takeyama, Mitsuru Tanaka
{"title":"A Case of Stage IV Gastric Cancer with Synchronous Pancreatic and Splenic Metastases Treated by Simultaneous Resection","authors":"Takuma Karasuyama, Y. Asao, Siyuan Yao, H. Kojima, O. Takeyama, Mitsuru Tanaka","doi":"10.3919/jjsa.84.288","DOIUrl":"https://doi.org/10.3919/jjsa.84.288","url":null,"abstract":"","PeriodicalId":19305,"journal":{"name":"Nihon Rinsho Geka Gakkai Zasshi (journal of Japan Surgical Association)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82209985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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