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英文誌(2004-)

Journal of Medical Ultrasonics

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1993 - Vol.20

Vol.20 No.06

Case Report(症例報告)

(0382 - 0386)

超音波検査にて術前に診断された成人腸重積症の1例

An Adult Case of Intussusception Pre-operatively Diagnosed with Ultrasonography

小畑 達郎1, 森下 覚2, 山口 俊朗2

Tatsuro KOBATA1, Satoru MORISHITA2, Toshiro YAMAGUCHI2

1京都民医連中央病院内科, 2京都民医連中央病院超音波検査室

1Department of Internal Meicine, Kyoto Min-i-ren Center, 2Ultrsonographic Laboratory, Kyoto Min-i-ren Center

キーワード : Ultrasonography, Intussusception, Pre-operative diagnosis

Intussusception of adults is very difficult to diagnose pre-operatively. We report here an adult case of intussusception pre-operatively diagnosed through ultrasonography. An 81-year-old man was transferred to our hospital with a sudden onset of severe abdominal pain. On his second day at the hospital, ultrasonography revealed a severely dilated intestine wrapped within another intestine resembling an “intestine in intestine”, which enabled the immediate diagnosis of intussusception. Subsequently, we performed emergency surgery and found a jejuno-jejunal invagination with a lipoma. The sign, “intestine in intestine” seemed to be a definite diagnostic ultrasonographic finding of intussusception.