J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1072KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(12): 1309-1312, 1993

Case report

A CASE COMPLICATED WITH A LARGE PERFORATION AT THE GREAT CURVATURE OF THE STOMACH AFTER 6 DAYS OF OMENTOPEXY FOR TUBERCULOUS EMPYEMA

Department of Thoracic Surgery, National Sanatrium Hyogo Chuo Hospital, Sanda, Japan
1) Department of Surgery, National Sanatrium Hyogo Chuo Hospital, Sanda, Japan
2) Department of Surgery, Toyooka Public Hospital, Hyougo, Japan
3) Department of Pathology, Division I, Kobe University School of Medicine, Kobe, Japan

Hidehiro Yamamoto, Tsutomu Ohsako, Tokumitsu Koh, Hajime Yamamoto1), Tamotsu Morimoto2), Keisuke Hanioka3), Hiroshi Itoh3)

A 72-year-old male with tuberculous empyema underwent omentopexy following thoracic window. However, acute abdomen developed 6 days after the latter surgery. During emergency laparotomy, a large perforation (8.5 × 3cm) was found at the great curvature of the stomach. Histology of the resected specimen showed this was ischemic ulcer, which was thought to have been caused by circulatory failure at the areas supplied by the right gastroepiploic arteries after pedicled omental flap. This case suggested that much attention should be paid not only to the blood circulation of the graft but also to that of the stomach.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.