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狭窄性クローン病におけるメッケル憩室による腸閉塞:偶然の一致か?
Teresa Ortiz Muñoz1, Alberto García Picazo2, Francisca Moreno Nisa1
1General and Digestive Surgery , Hospital Universitario La Paz.
Revista espanola de enfermedades digestivas
|February 25, 2026
まとめ
クローン病患者が異物による不完全回腸閉塞を経験した。このまれな合併症の診断と管理には、高度な画像診断と介入が必要であった。
科学分野:
- 消化器病学; 外科症例報告
背景:
- クローン病(CD)は慢性炎症性腸疾患である。遠位回腸の狭窄性CDは、繰り返しの内視鏡的拡張術を必要とする場合がある。以前の生物学的療法(インフリキシマブ、アダリムマブ、ユステキヌマブ)はこの患者には効果がなかった。
研究 の 目的:
- 長期にわたるクローン病患者における不完全回腸閉塞のまれな症例を報告する。回腸内異物の診断と管理における診断上の課題を強調する。
主な方法:
- 症候性回腸閉塞を有する56歳男性の症例報告。診断ワークアップには腹部X線撮影とCTスキャンが含まれた。臨床所見と画像所見を分析した。
主要な成果:
- 患者は腹痛、吐き気、嘔吐を呈した。画像診断により小腸ループの拡張が明らかになり、不完全回腸閉塞が示唆された。CTスキャンにより、原因として腸管内異物が特定された。
結論:
- 腸管内異物は、クローン病患者における不完全回腸閉塞を引き起こす可能性がある。このようなまれな合併症の診断には、高度な画像診断が不可欠である。管理戦略は、基礎となるクローン病と異物の原因を考慮する必要がある。
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