原因診断困難な消化管通過障害を来した精神発達遅延患者の2例

概要

論文の詳細を見る
Two mentally retarded patients were admitted suffering from the unknown causes of intestinal obstruction. One patient aged nine underwent laparotomy and it became apparent that the intestinal obstruction was caused by a small balloon ingested by accident. The other patinet aged twenty-two was admitted because he swallowed a bell and it impacted at the fourth portion of the duodenum. Endoscopic examination showd that much food residues were retained in the duodenum and that a bell was found at the fourth portion of the duodenum. Only a removal of the bell was performed. Three days afterr the endoscopy, a large sponge was excreted from the anus. Its impaction at the duodenum was found to be a true cause of the obstruciton. In mentally retarded patinets, it is important to take a detailed history and to keep in mind that a foreign body in the intestine may cause an intestinal obstruction at any time.
日本小児外科学会の論文
1992-10-20