Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

輸入脚閉塞症の画像診断と治療

Matsuno, Shinsuke
Kojima, Kanji
Mori, Yasutane
Kageyama, Junichi
Toyama, Yoshihiro
Tsuuchi, Yasuhiko
Yoden, Midori
Ohkawa, Motoomi
Tamai, Toyosato
Tanabe, Masatada
Thumnail 101_43.pdf 5.98 MB
Abstract
Four cases of afferent loop obtruction were reported. Billroth II reconstruction was performed in two patients and Roux-Y reconstruction was performed in the other two patients after gastrectomy. Three of four patients complained of jaundice. CT and ultrasonography showed a dumbell-shaped cystic mass anterior to the abdominal aorta on the transverse image, and a cystic mass between the superior mesenteric vessels and the abdominal aorta on saggital view. These patients were not surgical candidates because of their poor condition. We performed the drainage of the afferent loop via a percutaneus transhepatic biliary catheter as a palliative treatment. In one case the serum bilirubin and amylase level decreased to normal range and the patient survived for 80 days. The other two patients died on the 12th and 28th day after the procedure. One patient is currently alive 20 days after the drainage procedure with improvement of clinical symptoms, serum bilirubin and amylase levels.
Keywords
超音波診断
CT
輸入脚閉塞症
PTCD
ISSN
0030-1558
NCID
AN00032489