岡山医学会雑誌
Online ISSN : 1882-4528
Print ISSN : 0030-1558
125 巻 , 3 号
選択された号の論文の17件中1~17を表示しています
平成24年度岡山医学会賞
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症例報告
  • 前田 直見, 近藤 秀則
    2013 年 125 巻 3 号 p. 235-238
    発行日: 2013/12/02
    公開日: 2014/01/06
    ジャーナル フリー
      We encountered 2 cases of penetration of fecal matter through a diverticulum of the transverse colon, which is a rare disease. Case 1 was a 33-year-old man who was examined in the clinic with a complaint of epigastralgia. Tenderness and muscular defense were found in the upper abdomen. On abdominal CT examination, wall thickening and increased fat concentration were seen in the transverse colon. He was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon close to the liver curvature. The patient was diagnosed with mesenteric abscess due to penetration of fecal matter through a diverticulum of the transverse colon. Right hemicolectomy was carried out. Case 2 was a 43-year-old woman who was examined in the clinic with a complaint of right lower abdominal pain. Muscular defense and rebound tenderness were found in the lower abdomen. On abdominal CT examination, abscess formation was seen in the right lower abdomen. She was diagnosed with peritonitis and underwent emergency surgery. On laparotomy, a tumor mass was found in the transverse colon. The patient was diagnosed with mesenteric abscess due to penetration of the transverse colon associated with a diverticulum. Partial removal of the transverse colon was carried out.
  • 二宮 卓之, 小島 康知, 原野 雅生, 大野 聡, 塩崎 滋弘, 二宮 基樹
    2013 年 125 巻 3 号 p. 239-242
    発行日: 2013/12/02
    公開日: 2014/01/06
    ジャーナル フリー
      Appendiceal diverticulum is rare. We encountered a case of appendiceal diverticulum with chronic appendicitis. A 56-year-old man presented to our hospital with right lower abdominal pain. An abdominal computed tomography (CT) scan showed swelling of the appendix body and the wall thickness of the base of the appendix. Due to the possibility of appendiceal tumor, we performed a laparoscopy-assisted ileocecal resection with lymph node dissection. The appendix had a diverticulum with chronic inflammation, but it did not have a neoplastic lesion.
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