十二指腸憩室症の臨床的ならびにX線学的研究
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Duodenal diverticula is not a rare condition. There are many medical reports of this disease since the stage of Morgagni up to date. But the true from and clinical significance of duodenal diverticula has not yet revealed. I studied 76 cases of this disease clinically and roentogenologically. My report does not contain a ulcerative or tractions pouch of the viscus. Conclusions are as follows : 1. Age and Sex. The majority of duodenal diverticula are observed after middle age. The sex incidence is equal. 2. The order of frequency of duodenal diverticula are, 1 mid of second portion (para Vaterian) 2 third portion 3 Flex, duodenojejunalis. I did not observed in the first portion. 3. Usually single, but several cases had multiple. 4. Clinical symptoms are classified into three types, Type 1 resembling cholecystitis or cholelithiasis Type 2 resembling gastric or duodenal ulcer Type 3 resembling gastroenteritis 5. Clinical Examination Many cases had a leucocytosis. Duodenal juice showed an inflammatory condition of the biliary tract. Increasing of serum amylase is noted. 6. Roentogen examination. All the diverticula situated on the inner surface of the duodenal loop. Deformation of the first or second portion of the duodenum is revealed due to an adhesion between the gallbladder and the viscus. Peristasis of the wall of the sac is not noted. I found more than three hours retension of the contrast meal in the pouch. 7. Duodenal diverticula seems to be not cause clinical symptom. There is, however, the gallbladder is involved as a result of pressure on the duct, causing a cholecystitis, cholangitis, and jaundice. Retention of the bile flow also causes a gallstone. Involvement of the pancreas is due to pressure on the duct, pancreatitis.
- 千葉大学の論文
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