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- W2321686543 abstract "症例は60歳，男性．発熱と腹痛を主訴に受診．WBC 17,000/μl，CRP 25.93mg/dlと高度炎症所見を認めた．腹部CT検査で門脈内ガス像とS状結腸に憩室炎の所見を認めた．門脈ガス血症を伴う重篤な憩室炎と診断，穿孔の可能性も考え，緊急手術を施行した．術中所見では，腹腔内の汚染はなかったが，S状結腸全体が発赤，硬結を呈しており，腸間膜内への穿破を疑う所見を認めたため，S状結腸を切除し縫合した．術後に縫合不全を起こしたため，横行結腸に一時的に人工肛門を造設した．その後治癒し，人工肛門を閉鎖した．門脈ガス血症は，腸管壊死を起こした際などに見られる比較的稀な病態で，開腹術を要する予後不良の徴候とされてきたが，近年では保存的治療で軽快を認めた報告例も散見されている．今回われわれは，門脈ガス血症を呈したS状結腸憩室炎の1例を経験したので文献的考察を加えて報告する．" @default.
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- W2321686543 date "2012-01-01" @default.
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- W2321686543 title "A case of hepatic portal venous gas caused by diverticulitis of sigmoid colon" @default.
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- W2321686543 doi "https://doi.org/10.3919/jjsa.73.1455" @default.
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