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- W2325446987 abstract "症例は86歳の女性で，心房細動に対しアスピリン100 mg/日を内服していた．腹痛，下痢・嘔吐を認め受診．腹膜刺激症状と腹部単純X線検査で著明な小腸ガス像を認めた．発症3時間後のCTで肝臓のair density area，門脈内ガス像（portal venous gas；以下，PVG），腸管壁内気腫・壁浮腫像を認め，腸管壊死を疑い手術を施行した．中等量の血性腹水が存在し，Treiz靭帯より120 cmの小腸より壊死部と灰白色の虚血腸管を認めた．上腸間膜動脈（superior mesenteric artery；以下，SMA）閉塞症による小腸壊死と診断し，小腸大量切除・回盲部切除を行った．病理組織学的に小腸の著明な出血壊死が見られ，粘膜層の凝固壊死および出血が認められた．腹水培養で細菌は同定されず，第25病日に内科転科となった．発症後3時間でPVGを呈したSMA閉塞症の報告は他に1例のみであり，貴重である．本疾患は予後不良であり，腸管壊死を疑う場合，早期の開腹術が予後改善につながると考えられた．" @default.
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- W2325446987 date "2009-01-01" @default.
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- W2325446987 title "A Case of Superior Mesenteric Artery Occlusion with Portal Venous Gas which Emerged in Short Time from the Onset and Rescued by Surgery" @default.
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- W2325446987 doi "https://doi.org/10.5833/jjgs.42.1512" @default.
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