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Updated: Jan 7, 2026

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A Mouse Model of Intestinal Partial Obstruction
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腹腔鏡下虫垂切除術から2年後に小腸閉塞を引き起こしたテキスティローマの症例報告
Svetlana Ciocarlan1, Raluca Belchita1, Dimitrios Tsironis2
1Department of General Surgery, St George's University Hospitals NHS Foundation Trust, London, GBR.
Cureus
|December 30, 2025
まとめ
遺残手術ガーゼは晩期発症の腸閉塞を引き起こす可能性があり、緊急手術が必要となる場合があります。腹腔鏡下での異物摘出は、入院期間と回復期間を最小限に抑える上で有効です。
科学分野:
- 消化器病学
- 手術合併症
- 腹部手術
背景:
- 遺残手術ガーゼは稀ではあるが重篤な合併症である。
- 手術から数年後であっても、腸閉塞の遅発性症状を引き起こす可能性がある。
- 患者の転帰のためには、迅速な診断と介入が不可欠である。
研究 の 目的:
- 遺残手術ガーゼによる晩期発症の小腸閉塞の症例を報告する。
- このような異物合併症の管理における腹腔鏡の有用性を強調する。
- 鑑別診断において遺残手術物質を考慮することの重要性を強調する。
主な方法:
- 小腸閉塞の症状を呈した29歳男性の症例報告。
- 画像診断により、放射線不透過性の異物が明らかになった。
- 診断と管理のために緊急診断的腹腔鏡検査を実施した。
主要な成果:
- 閉ループ小腸閉塞の原因として、嚢胞に包まれた遺残ガーゼが特定された。
- 腸切除を必要とせずに、腹腔鏡下での異物摘出に成功した。
- 患者は良好な術後回復を経験した。
結論:
- 遺残手術ガーゼによる晩期発症の腸閉塞には、高い臨床的疑いが必要である。
- 腹腔鏡手術は、遺残異物を摘出するための低侵襲的なアプローチを提供する。
- 医療提供者は、遅発性手術合併症に対する認識と準備が不可欠である。
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