内容紹介
Summary
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.
要旨
症例は38歳,女性。腹痛を主訴に当院を受診し,絞扼性イレウスと診断され,手術目的に入院となった。手術所見は腹腔内全体に粘液性の癒着を認め,索状物による絞扼性イレウスを認めた。腸管壊死は認めなかった。虫垂腫脹を認め,虫垂原発腹膜偽粘液腫による絞扼性イレウスと診断し,回盲部切除術を施行した。術後9日目に経過良好で退院となった。腹膜偽粘液腫は腹水,腹部膨満,虫垂炎症状などで発見されることが多いが,絞扼性イレウスを契機に診断された報告はなく今回報告する。
目次
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.
要旨
症例は38歳,女性。腹痛を主訴に当院を受診し,絞扼性イレウスと診断され,手術目的に入院となった。手術所見は腹腔内全体に粘液性の癒着を認め,索状物による絞扼性イレウスを認めた。腸管壊死は認めなかった。虫垂腫脹を認め,虫垂原発腹膜偽粘液腫による絞扼性イレウスと診断し,回盲部切除術を施行した。術後9日目に経過良好で退院となった。腹膜偽粘液腫は腹水,腹部膨満,虫垂炎症状などで発見されることが多いが,絞扼性イレウスを契機に診断された報告はなく今回報告する。