先天性直腸狭窄症の1治験例

概要

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A two year, ten month old boy who has had tenesmus since three months of age, consulted a doctor for diarrhea. An anomaly of the rectum was noted and he was diagnosed as having congenital rectal stenosis after undergoing a barium enema at the Department of Pediatrics in our hospital. At the time of admission to our clinic, abdominal distension and a dilated intestine were noted. A smaal finger-sized circular stenosis, 4 cm from the anal orifice on the oral side was comfiemed by digital examination. The stenotic lesion was resected completely by a sacral approach and sutured with an end to end anastomosis. The diameter of the narrow portion was approximatory 7 mm in a resected specimen. Histological analysis showed a marked thickness of the muscular layer and partial squamous metaplasia, but nervous plexus were preserved normally. A minor leakage at the anastomosed portion was noted, however the patient was able to discharge on the 57th day after the operation without any after effects.
日本小児外科学会の論文
1990-08-20