筋層肥厚型S状結腸憩室の穿孔性腹膜炎合併例の臨床病理学的研究

概要

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The five patients underwent emergent surgery for acute peritonitis caused by perforating sigmoid diverticulitis. Their perforations were free in 3 and closed in 2, respectively. The diseased segment was primarily resected in all cases who underwent primary anastomosis in 3 and colostomy of Hartmann procedure in 2, respectively. One of the former group developed an anastomotic leakage, nessecitating additional Hartmann operation. All resected specimens showed marked thickening and shortening of the sigmoid colon causing difficulty in primary anastomosis. The thickness of their internal muscles ranged from 3 to 5 mm in the diameter of muscle wall. Their muscle abnormal type according to Hughes's classification were simple infolding of circular muscle band in 3, localized muscle thickening and diffuse muscle thickening in each one, respectively. The knowledge on the muscle abnormality of sigmoid colonic diveticulitis is considered to be very important for the appropriate diagnosis and treatment.
愛知医科大学の論文
2004-03-15