【胃癌筛查中因钡剂引起肠梗阻诊断为乙状结肠憩室穿孔的腹膜后肺气肿、纵隔肺气肿及颈部皮下肺气肿1例】。

Q4 Medicine

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI:10.11405/nisshoshi.122.434

Shintaro Iwanaga, Kenichi Sawa, Shogo Yamamoto, Kazuaki Tajima, Fuminao Takeshima, Kotaro Hayashida, Masachika Kitajima, Keiji Inoue, Yuji Ito

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引用次数: 0

摘要

一名66岁男子入院，体检时胸部x线异常，诊断为纵隔肺气肿。在住院期间，观察到肠梗阻是由在胃癌筛查中使用的钡引起的。结肠镜检查显示乙状结肠憩室炎引起的狭窄和穿孔。行Hartmann手术，第58天出院。因此，结肠穿孔应考虑为纵隔肺气肿的原因之一，钡引起的肠梗阻可能发生器质性狭窄。

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[Retroperitoneal emphysema, mediastinal emphysema, and cervical subcutaneous emphysema associated with perforation of a sigmoid colon diverticulum diagnosed due to intestinal obstruction caused by barium during a gastric cancer screening: a case report].

A 66-year-old man was admitted to the hospital and diagnosed with mediastinal emphysema after an abnormal chest X-ray during physical examination. During hospitalization, an intestinal obstruction was observed to be caused by barium used during gastric cancer screening. Colonoscopy demonstrated stenosis and perforation due to sigmoid colon diverticulitis. Hartmann surgery was performed, and the patient was discharged on the 58th day. Therefore, colon perforation should be considered as a cause of mediastinal emphysema, and organic stenosis may occur with intestinal obstruction caused by barium.

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来源期刊

Japanese Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.