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出血性ショックを来した,横行結腸海綿状血管腫に上腸間膜動脈分枝動脈瘤破裂を併発した1例

By  Masatake ISHIKAWA,  Masato KON,  Yukihiro SOGA,  Arino YAGUCHI and  Tadashi SUZUKI

Abstract

大腸海綿状血管腫は稀な疾患である.また上腸間膜動脈分枝動脈瘤破裂もきわめて稀である.最近われわれは,24歳男性で,突然の上腹部痛で発症し緊急手術により,横行結腸海綿状血管腫よりの腹腔内出血を認め同部を切除した.術後,再度の腹腔内出血に対し,血管造影を施行し,上腸間膜動脈第1空腸枝動脈瘤と診断し,動脈瘤結紮切除を行った症例を経験した.大腸海綿状血管腫は本邦では過去に53例,欧米では300例を越える報告があるが,それが原因で腹腔内出血を来した症例は極めてめずらしい.また上腸間膜動脈分枝動脈瘤も世界で40例の報告があるにすぎず,極めて稀な疾患である.Cavernous hemangioma of the colon is a rare disease, and superior mesenteric artery branch aneurysm is even rarer. We recently performed emergency surgery on a 24-year-old man with sudden epigastralgia, during which an intraabdominal hemorrhage caused by cavernous hemangioma of the transverse colon was detected. Following surgery, the patient suffered another intraabdominal hemorrhage, and angiography confirmed a superior mesenteric artery first jejunum branch aneurysm, resulting in another operation. To date, 53 cases of cavernous hemangioma of the colon have been documented in Japan, and over 300 cases in Europe and America. However, intraabdominal hemorrhage coused by colon cavernous hemangioma is very rare. In addition, there have been 40 documented cases of superior mesenteric artery branch aneurysm worldwide, however, none of these cases occurred in Japan

Publisher: 東京女子医科大学学会
Year: 1998
OAI identifier: oai:ir.twmu.ac.jp:10470/24254
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