TY - JOUR
T1 - Pneumatosis cystoides intestinalis treated under conservative treatment after pancreaticoduodenectomy
AU - Tokai, Ryutaro
AU - Yoshioka, Isaku
AU - Hirano, Katsuhisa
AU - Sekine, Shinichi
AU - Shibuya, Kazuto
AU - Hashimoto, Isaya
AU - Hojo, Shozo
AU - Okumura, Tomoyuki
AU - Nagata, Takuya
AU - Fujii, Tsutomu
N1 - Publisher Copyright:
© 2019 The Japanese Society of Gastroenterological Surgery.
PY - 2019
Y1 - 2019
N2 - The patient was an 84-year-old man who visited our hospital because of diabetes and had a sudden deterioration in blood glucose control. A pancreatic head tumor was pointed out upon examination and he was referred to our department. The contrast CT revealed a tumor of 15 mm in the head of the pancreas. The tumor was in contact with the portal vein, but no invasion into the major artery was observed, and therefore was diagnosed as resectable pancreatic head cancer. Subtotal stomach-preserving pancreaticoduodenectomy with portal vein resection was performed. Abdominal pain appeared on postoperative day 4, and abdominal CT revealed pneumatosis cystoides intestinalis (PCI). Conservative treatment was performed because no findings of intestinal necrosis was found. Subsequent CT revealed improvement of PCI and he was discharged on postoperative day 22 in good general condition. There are few reports on PCI as postoperative complications, especially after pancreaticoduodenectomy. We herein report a case of PCI treated under conservative therapy after subtotal stomach-preserving pancreaticoduodenectomy.
AB - The patient was an 84-year-old man who visited our hospital because of diabetes and had a sudden deterioration in blood glucose control. A pancreatic head tumor was pointed out upon examination and he was referred to our department. The contrast CT revealed a tumor of 15 mm in the head of the pancreas. The tumor was in contact with the portal vein, but no invasion into the major artery was observed, and therefore was diagnosed as resectable pancreatic head cancer. Subtotal stomach-preserving pancreaticoduodenectomy with portal vein resection was performed. Abdominal pain appeared on postoperative day 4, and abdominal CT revealed pneumatosis cystoides intestinalis (PCI). Conservative treatment was performed because no findings of intestinal necrosis was found. Subsequent CT revealed improvement of PCI and he was discharged on postoperative day 22 in good general condition. There are few reports on PCI as postoperative complications, especially after pancreaticoduodenectomy. We herein report a case of PCI treated under conservative therapy after subtotal stomach-preserving pancreaticoduodenectomy.
KW - Conservative treatment
KW - Pancreaticoduodenectomy
KW - Pneumatosis cystoides intestinalis
UR - http://www.scopus.com/inward/record.url?scp=85079147852&partnerID=8YFLogxK
U2 - 10.5833/jjgs.2018.0165
DO - 10.5833/jjgs.2018.0165
M3 - 学術論文
AN - SCOPUS:85079147852
SN - 0386-9768
VL - 52
SP - 665
EP - 671
JO - the japanese journal of gastroenterological surgery
JF - the japanese journal of gastroenterological surgery
IS - 11
ER -