RECURRENT VALVULAR PNEUMOPERITONEUM CAUSED BY A MINUTE GASTRIC-ULCER - A CASE-REPORT

被引：3
作者：
IMABUN, S
MIYATA, M
TANAKA, Y
HASHIMOTO, T
YAMAGUCHI, T
SUNADA, S
KITAGAWA, T
KAWASHIMA, Y
机构：
[1] The First Department of Surgery, Osaka University Medical School, Osaka, 553, 1-1-50 Fukushima, Fukushima-ku
来源：
JAPANESE JOURNAL OF SURGERY | 1991年 / 21卷 / 05期
关键词：
VALVULAR PNEUMOPERITONEUM; GASTRIC ULCER;
D O I：
10.1007/BF02470997
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
A rare case of valvular pneumoperitoneum is reported. A 49-year-old Japanese man underwent an emergency laparotomy under a tentative diagnosis of perforating panperitonitis on the 19th post-open heart surgery day. A large volume of free intraperitoneal gas was revealed, but no identification of gastrointestinal perforation. On the 17th postlaparotomy day, pneumoperitoneum recurred. On the 41st postlaparotomy day, a tiny gastric perforation was detected with an oral contrast medium. The patient died of liver failure due to serum hepatitis. The autopsy revealed a minute gastric ulcer scar 2 mm in diameter in the mucosa of the fornix, which was thought to have caused the valvular pneumoperitoneum. A literature review was made of 8 reports on 11 cases. In two cases of valvular pneumoperitoneum, the perforating site could not be found even during laparotomy. It is suggested that either gastrointestinal series or endoscopy must be carefully repeated in order to identify the perforating site.
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收藏
页码：571 / 575
页数：5
相关论文
共 9 条
  • [1] Singer H.A., Valvular pneumoperitoneum, Journal of the American Medical Association, 99, pp. 2177-2180, (1932)
  • [2] Hamada Y., Suzuki K., Kitahora T., Yokota A., Shinohara H., Ro T., Utsunomiya T., Mukai M., Yoshioka M., A case of repeated valvular pneumoperitoneum due to a perforation occasioned by a minute ulcerative lesion of the stomach, Nippon Shoukakibyou Gakkai Zasshi, 79, pp. 1460-1463, (1982)
  • [3] Satou C., Ejiri Y., Fujii K., Funada K., Ezawa T., A case of recurrent valvular pneumoperitoneum due to perforating gastric ulcer, Rinsyou Geka, 39, pp. 123-126, (1984)
  • [4] Takano R., Kikuta S., Sugiyama K., Yabe K., Matsubashi K., A case of a suspected valvular pneumoperitoneum, Iwatekenritsubyouin Igakkai Zasshi, 24, pp. 36-38, (1984)
  • [5] Meyers G.B., Bate T.H., Lofstrom J.E., Valvular pneumoperitoneum complicating mucocellular carcinoma of the stomach, Annals of Surgery, 102, pp. 144-147, (1935)
  • [6] Nekrasov S.M., Postoperative valvular pneumoperitoneum, Vestnik Khir, 41, pp. 103-106, (1935)
  • [7] Kourias B., Spontaneous tension or valvular pneumoperitoneum
  • [8] report of a case and review of literature, Rev de Chir, Paris, 74, pp. 158-169, (1936)
  • [9] Chong Tat, Spontaneous tension or valvular pneumoperitoneum, J Malaya Br, 1, pp. 78-80, (1937)
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