Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
盲腸憩室炎に起因して回盲弁が先進部となって発症した腸重積の1例
日原 大輔根本 夕夏子鈴木 武志佐藤 浩一郎富永 健司伊藤 紗代加藤 充北川 智之平山 圭穂吉田 有輝牧野 敏之三登 久美子高木 厚子前谷 容
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キーワード: 腸重積, 盲腸憩室炎
ジャーナル フリー

2015 年 86 巻 1 号 p. 188-189

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We herein describe the case of a 50-year-old man who presented with intermittent right lower quadrant abdominal pain which he had been experiencing since December 2013. The pain symptoms gradually worsended, and he was therefore hospitalized on May 2014. Abdominal CT showed the cecum invaginated into the ascending colon as leading point of the ileocecal valve . Emergency colonoscopy revealed the same status as observed in the CT findings. We attempted to reposition the invagination during colonoscopy by releaseing gradually over the air pressure. Colonoscopy performed on the 13th hospitalization day revealed the presence of an ulcer on the cecal diverticulum. As stated above, we speculated that cecal diverticulitis had thus caused the cecal invagination in this case. It is extremely rare that an invagination case is treated conservatively and thereafter shows a good recovery.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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