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- W2334802655 abstract "症例は64歳の男性で，10年前より肛門部からの脱出を自覚していたが，用手還納可能で受診はしていなかった．2013年12月，排便後に脱出があり用手還納を試みたが，整復できず放置した．翌日，肛門部の疼痛と出血があり当院に救急搬送となった．来院時，新生児頭大の完全直腸脱を認め，粘膜は暗赤色で高度の浮腫を呈し，一部に粘膜の裂傷と潰瘍の形成を伴っており嵌頓による変化が認められた．腰椎麻酔下での整復を試みたが，高度の浮腫により困難であり，出血も認めたため全身麻酔に変更し，Altemeier法による経肛門的直腸S状結腸切除と腹部小切開による回腸瘻造設術を施行した．病理組織学的検査で直腸は粘膜から筋層に至る広範な壊死を呈していた．術2か月後に回腸瘻閉鎖術を行い，排便障害なく順調に経過している．完全直腸脱嵌頓・壊死に対しAltemeier法による緊急修復術を施行したので報告する．" @default.
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- W2334802655 date "2015-01-01" @default.
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- W2334802655 title "Emergency Perineal Rectosigmoidectomy for Incarcerated and Strangulated Rectal Prolapse Using Altemeier’s Procedure" @default.
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- W2334802655 doi "https://doi.org/10.5833/jjgs.2014.0143" @default.
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