We report a case of jejunogastric intussusception developed 15 years after gastrectomy, together with cumulated cases of postlaparotomy intussusception in adults and children from the domestic literature in which their differential pictures of the disease between both age groups are reviewed.A 59-year-old male visited our hospital complaining of upper abdominal pain and hematemesis, who had undergone gastrectomy with BII procedure for gastric ulcer 15 years before. As a result of UGI and GIF, it was diagnosed as intussusception of the efferent crus of jejunum into the residual stomach, laparotomy being performed. During surgery it was found that the efferent crus by about 30cm retrogressively prolapsed into the stomach to form a triple cyclindrical intussusception. A mild strangulation could be reduced by manipulation. Post-operative course was uneventful.In the past 4 decades, postlaparotomy intussusception has been reported in 266 adults and 53 children in this country. The manifestations can be predominantly seen after gastrectomy in the former, while after operation for retroperitoneal tumor in the latter. A difference lies in that the intussusceptions in children occurred in an extremely early period of around 5 days after surgery, most of which could be manually reduced, but those in adults developed in around 10 days after surgery, which commonly demanded excision of the intestine.
We experienced a case of primary splenic tuberculosis, in which the lesion was not found in any organs but the spleen.The case was a 46-year-old male who visited our hospital with the chief complaint of malaise. Abdominal screening CT revealed a tumorous lesion in the spleen. A malignant splenic tumor was strongly suspected, and
We experienced a case of malignant primary lymphoma of the spleen. The case was a 72-year-old male complaining of poor appetite. Abdominal screening CT revealed a tumor mass of the spleen. Various imaging methods failed to offer the definite diangosis, and laparotomy was carried out. A possible malignant tumor was suspected from perioperative findings. Splenectomy, including lymph node dissection surrounding the hilum of spleen and splenic arteries, and associated excision of tail of pancreas were performed. From histopathological findings, it was definitely diagnosed as malignant lymphoma of duffuse large cell type according to LSG classification. Similar tumor cells were found at lymph nodes of the hilum of spleen, which might be in stage 2 by Ahmann classification. A total of 103 cases of primary malignat lymphoma of the spleen was seen in the Japanese literature so far as we could review. However, many reports did not describe what criteria made the authers diagnose as primarily arising in the spleen. In this report statistical analysis was performed on 61 of the 102 cases which satisfied the diagnosis criteria advocated by Spier and others.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.