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Well leg compartment syndrome after surgery for ulcerative colitis in the lithotomy position: A case report
http://hdl.handle.net/2241/00143479
http://hdl.handle.net/2241/001434797c519fcd-0aee-4986-b752-abba81c62005
名前 / ファイル | ライセンス | アクション |
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IJSCR_23 (986.0 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2016-08-02 | |||||
タイトル | ||||||
タイトル | Well leg compartment syndrome after surgery for ulcerative colitis in the lithotomy position: A case report | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Enomoto, Tsuyoshi
× Enomoto, Tsuyoshi× Ohara, Yusuke× Yamamoto, Masayoshi× Oda, Tatsuya× Ohkohchi, Nobuhiro |
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著者別名 |
榎本, 剛史
× 榎本, 剛史× 大原, 佑介× 山本, 雅由× 小田, 竜也× 大河内, 信弘 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Introduction: Well leg compartment syndrome (WLCS) is an uncommon and severe complication that occurs after colorectal surgery in the lithotomy position. |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Presentation of case: The current patient was a 28-year-old male suffering from ulcerative colitis. He was underwent elective proctectomy, including ileal J pouch formation and anal anastomosis with temporary loop ileostomy. The ileoanal pouch procedure was quite difficult, and during this procedure, the high lithotomy and head down tilt positions were continued for 255 min. After the operation, the patient complained of severe cramping pain, swelling and serious tenderness on palpation in both legs. On the first postoperative day, the patient's complaints gradually worsened. The intra-compartmental pressure was measured, and WLCS was diagnosed. Emergency bilateral fasciotomy was performed. Initially, the patient had a sensory deficit and analgesia, however, his sensory disturbance and pain had almost recovered two months after fasciotomy by rehabilitation. |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Discussion: In the current case, the important factors associated with the development of WLCS are thought to be a prolonged operative time in which the patient is placed in the high lithotomy position during ileoanal pouch procedure. |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Conclusion: We would thus like to emphasize that operations for the ileoanal pouch procedure to treat ulcerative colitis have a high potential for inducing WLCS, because it usually requires a prolonged operative time in which the patient remains in the high lithotomy position. |
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書誌情報 |
International journal of surgery case reports 巻 23, p. 25-28, 発行日 2016 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 22102612 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 27085103 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.ijscr.2016.04.006 | |||||
権利 | ||||||
権利情報 | © 2016 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http:// creativecommons.org/licenses/by-nc-nd/4.0/). | |||||
著者版フラグ | ||||||
値 | publisher | |||||
出版者 | ||||||
出版者 | Elsevier |