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経皮内視鏡的胃瘻造設術による腹壁の壊死性筋膜炎の1例
http://hdl.handle.net/10470/27096
http://hdl.handle.net/10470/27096f9f690d0-4ee0-43d8-be87-01db80472e79
名前 / ファイル | ライセンス | アクション |
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KJ00006018066.pdf (557.5 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | 経皮内視鏡的胃瘻造設術による腹壁の壊死性筋膜炎の1例 | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | A Case of Abdominal Wall Necrotizing Fasciitis Caused by Percutaneous Endoscopic Gastrostomy | |||||
著者名 |
陳, 尚顯
× 陳, 尚顯× 村田, 順× 亀岡, 信悟 |
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著者別名 | ||||||
姓名 | CHIN, Shohken | |||||
著者別名 | ||||||
姓名 | MURATA, Jun | |||||
著者別名 | ||||||
姓名 | KAMEOKA, Shingo | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 76, 号 3, p. 128-131, 発行日 2006-03 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | We report a case of abdominal wall necrotizing fasciitis caused by percutaneous endoscopic gastrostomy (PEG). An 81-year-old woman underwent an outpatient PEG for feeding at our hospital in August, 2005. She was febrile (39.3℃) 6 days after the PEG and later she was found with abdominal wall cellulitis. The patient was transferred to our hospital. She was found to have an abdominal abscess with subcutaneous air on the upper and left lateral abdomen. CT scan showed emphysema of the abdominal wall with extensive destruction of the bilateral rectus muscle and the left oblique muscle during an inflammatory process, suggesting abdominal wall necrotizing fasciitis. The patient was immediately given Meropenem and immunoglobulin and underwent an emergency surgery. Abdominal wall incision revealed that the bilateral rectus muscle and the anterior abdominal wall fascia were nonviable but the posterior abdominal wall fascia was intact. Debridement was performed following a washing and drainage of the abdominal abscess. Wound cultures showed Streptococcus constellatus. After surgery, we performed bed-side washing and debridement. Early diagnosis and prompt treatment had led to a favorable postoperative course. Finally, necrotizing fasciitis caused by PEG is a life-threatening complication ; carefully examination after PEG is of great importance. | |||||
著者所属 | ||||||
朝霞台中央総合病院外科:東京女子医科大学医学部第二外科学 | ||||||
著者所属 | ||||||
朝霞台中央総合病院外科 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第二外科学 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | necrotizing fasciitis | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | percutaneous endoscopic gastrostomy (PEG) | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | Streptococcus constellatus |