| Item type |
[ELS]学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-01-23 |
| タイトル |
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|
タイトル |
Disappearance of the spleen as a rare complication of infected pancreatic pseudocyst following acute relapsing phase of chronic pancreatitis. |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 著者 |
Urakami, Atsushi
Yoshida, Koji
Matsumoto, Hideo
Hirai, Toshihiro
Nakamura, Masafumi
Tsunoda, Tsukasa
Naomoto, Yoshio
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| 著者所属(英) |
|
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|
en |
|
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Department of General Surgery, Kawasaki Hospital, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Department of Hepatology and Pancreatology, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Department of Gastroenterological Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
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en |
|
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Department of Gastroenterological Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
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|
en |
|
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Department of Gastroenterological Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of Gastroenterological Surgery, Kawasaki Medical School |
| 著者所属(英) |
|
|
|
en |
|
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Department of General Surgery, Kawasaki Hospital, Kawasaki Medical School |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Splenic rupture |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Splenic involvement |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Pancreatic pseudocyst |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Chronic pancreatitis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Helical computed tomography |
| 記事種別(英) |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Case report |
|
言語 |
en |
| 抄録(英) |
|
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|
en |
|
|
Splenic involvement of an infected pseudocyst is known to be a rare complication of infected pancreatic necrosis following pancreatitis. We present herein a case of chronic alcoholic pancreatitis complicated by a major infected pseudocyst formation involving the spleen, with subsequent rupture and complete disappearance of the entire spleen. A 60-year-old Japanese man with a history of chronic alcoholic pancreatitis with a pancreatic tail pseudocyst was referred to us because of severe epigastralgia. CT revealed spontaneous rupture of the pseudocyst into the stomach and free air in the pseudocyst. The body and tail of the pancreas were disrupted due to pancreatic necrosis, and the splenic parenchyma was also partially ruptured and disrupted with large tears of the splenic surface. One month later, CT showed almost complete disruption of the splenic parenchyma. Three months later, CT showed remarkable regression of the pseudocyst and complete disappearance of the entire spleen. Although splenic involvement of pancreatic pseudocysts should be considered to be a potentially lethal complication because of hemorrhage or infection, it can possibly be treated conservatively. In the present case, complete obstruction of both the splenic artery and vein due to chronic inflammation, and spontaneous drainage into the stomach were the most probable causes for the spontaneous regression without surgical treatment. This is the first report of splenic disappearance after splenic rupture demonstrated by CT. |
| 書誌情報 |
en : Kawasaki medical journal
巻 40,
号 2,
p. 73-78,
発行日 2014
|
| URL |
|
|
識別子 |
http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2014en/KMJ-E40(2)73.pdf |
|
識別子タイプ |
URI |
| DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.11482/KMJ-E40(2)73 |
| ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0385-0234 |
| ISSN |
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収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2434-3404 |
| 雑誌書誌ID |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12685295 |
| 雑誌書誌ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12029005 |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
KJ00009578259.pdf (1.0 MB)
