Academic Journal
3次元Multi-detectorCT画像により早期診断し，大腸内視鏡下に摘出し得た爪楊枝による超高齢者大腸穿通の1例 ; Endoscopic removal of a toothpick penetrating the sigmoid colon diagnosed by multi-detector CT with 3D reconstruction
| العنوان: | 3次元Multi-detectorCT画像により早期診断し，大腸内視鏡下に摘出し得た爪楊枝による超高齢者大腸穿通の1例 ; Endoscopic removal of a toothpick penetrating the sigmoid colon diagnosed by multi-detector CT with 3D reconstruction |
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| المؤلفون: | 杉山, 浩平, 松山, 友美, 白井, 謙一, 簗瀬, 公嗣, 浪崎, 正, 山崎, 正晴, 吉治, 仁志, 福井, 博 |
| بيانات النشر: | 奈良医学会 奈良県立医科大学 |
| سنة النشر: | 2015 |
| المجموعة: | Nara Medical University: GINMU - Global Institutional Repository / 奈良県立医科大学機関リポジトリ |
| مصطلحات موضوعية: | マルチスライスCT, 大腸内視鏡法, 腸穿孔, 異物, S状結腸, 腹膜炎 |
| الوصف: | We present herein a case of sigmoid penetration, caused by accidental ingestion of a toothpick and resolved by endoscopic removal. An 85-year-old woman with moderate dementia was referred to our hospital by the primary care doctor for a further examination of minor localized left lower quadrant rebound tenderness. Multi-detector CT (MDCT) revealed sigmoid colon penetration by a linear structure and adjacent opaque adipose tissue. She was admitted as an emergency case to our hospital with localized peritonitis. A 3D reconstruction image confirmed that a 6 cm-long toothpick had pierced the sigmoid colon. However, the abdominal CT scan showed sigmoid colon penetration with no evidence of abscess formation or free air. Toothpick ingestion-related penetration was successfully managed with an endoscopic retrieval procedure followed by broad-spectrum antibiotic coverage. She was eventually discharged in fair condition. Here, we report this case of an 85-year-old female patient with accidental toothpick ingestion who was diagnosed with sigmoid colon penetration by MDCT with 3D reconstruction, and underwent successful endoscopic removal. |
| نوع الوثيقة: | article in journal/newspaper report |
| اللغة: | Japanese |
| تدمد: | 13450069 |
| Relation: | Journal of Nara Medical Association Vol.66 No.1-2 p.25-30; http://hdl.handle.net/10564/3152; AA11252383; Journal of Nara Medical Association; 66; 1-2; 25; 30 |
| الاتاحة: | http://hdl.handle.net/10564/3152 |
| Rights: | publisher |
| رقم الانضمام: | edsbas.CD01F12F |
| قاعدة البيانات: | BASE |
| تدمد: | 13450069 |
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