取り外し可能な義歯の摂取によるS状結腸穿孔:症例報告と文献レビュー
Junyan Fang1, Chen Xu2, Yuzhen Wen2
1Department of Stomatology, The Ninth People's Hospital of Zibo and People's Hospital of Huantai County, Zibo, P.R. China.
Medicine
|February 3, 2026
まとめ
取り外し可能な義歯の摂取は、特に高齢者において、生命を脅かすS状結腸穿孔を引き起こす可能性がある。Hartmann手術のような迅速な外科的介入は、このまれな緊急事態の管理に不可欠である。
科学分野:
- 消化器病学
- 外科的緊急事態
- 老年医学
背景:
- 取り外し可能な義歯の摂取による消化管穿孔は、まれで生命を脅かす緊急事態である。
- 高齢患者は、口腔感覚と嚥下反射の低下により、リスクが高い。
研究 の 目的:
- 摂取された義歯によるS状結腸壊死および穿孔患者の管理を報告すること。
- 摂取された異物の早期同定と個別化された治療の重要性を強調すること。
主な方法:
- 76歳女性が、義歯を摂取した後、腹痛となきを呈した。
- 腹部CT検査により、S状結腸内の異物、穿孔、および気腹が確認された。
- 緊急Hartmann手術および結腸造設術が施行され、その後、腹腔鏡補助下のストーマ逆転術が施行された。
主要な成果:
- 手術的治療後、患者は順調に回復した。
- Hartmann手術は、緊急治療を必要とする結腸穿孔の管理に有効かつ安全であることが証明された。
- 腹腔鏡補助下のストーマ逆転術により、腸管連続性が成功裏に回復した。
結論:
- 摂取された義歯を有する患者にとって、早期診断と個別化された治療が不可欠である。
- リスクの高い個人に対しては、義歯修復またはより安全な代替品の検討が推奨される。
関連する概念動画
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.3K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.3K
The Colonization of Land
37.7K
Changes in the environment of the early Earth drove the evolution of organisms. As prokaryotic organisms in the oceans began to photosynthesize, they produced oxygen. Eventually, oxygen saturated the oceans and entered the air, resulting in an increase in atmospheric oxygen concentration, known as the oxygen revolution approximately 2.3 billion years ago. Therefore, organisms that could use oxygen for cellular respiration had an advantage. More than 1.5 years ago, eukaryotic cells and...
37.7K
Physiology of the Gastrointestinal System I: Ingestion and Propulsion
2.0K
The physiology of the gastrointestinal system begins with ingestion as food enters the mouth.
2.0K
Esophageal Perforation-I: Introduction
600
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
600
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K


