| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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|
タイトル |
Spontaneous Gastric Perforation in an Adolescent with Severe Motor and Intellectual Disabilities: A Case Report |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Candida albicans |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Gastric perforation |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Malnutrition |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Pediatric surgery |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Severe motor and intellectual disabilities |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Watanabe, Shun
Matsudera, Shotaro
Yamaguchi, Takeshi
Ogino, Kei
Noda, Shuhei
Nakazato, Yoshimasa
Otsubo, Yuto
Imataka, George
Mise, Minori
Takayanagi, Masashi
Takise, Shuhei
Nakajima, Masanobu
Morita, Shinji
Nakamura, Takatoshi
Suzuki, Kan
Yoshihara, Shigemi
Kojima, Kazuyuki
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 3,
号 2,
p. 146-151,
発行日 2024-06-25
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| 記事種別 |
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|
Case Report |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
Spontaneous gastric perforations are rare in adolescents. Here, we report the case of a 15-year-old boy with severe motor and intellectual disabilities (SMID) who was diagnosed with spontaneous gastric perforation. Due to his original condition and poor peristalsis caused by antiepileptic drugs, gas formation in the stomach and intestines was severe since infancy. After a femoral fracture at the age of 14 years and 5 months, the patient experienced reduced food intake and weight. He transferred to our hospital with shock vital due to severe peritonitis caused by gastric perforation. Immediately, he underwent an emergency laparotomy and partially resected with margins at the site of gastric perforation at the age of 15 years and 1 month. The cause of the gastric perforation was not identified by pathology. Intraoperative ascites culture detected Candida albicans. He was administered a long-term antifungal treatment for enteric mycosis with high β-D-glucan levels. Two months after the surgery, he was discharged. The detailed mechanism of gastric perforation is unclear but increased lumen pressure in the gastrointestinal tract has generally been speculated. In our case, we considered that the gastric perforation was caused by intestinal immunocompromise with Candida albicans overgrowth, associated with increased lumen pressure owing to the transverse position of the stomach. Therefore, deflation using gastrostomy may have been effective in relieving excess luminal pressure. Adequate nutritional evaluation and gastrostomy should be considered in patients with SMID, who have massive intestinal gas formation and gastric bubbles. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
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収録物識別子 |
2436-522X |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 他の資源との関係 |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.51040/dkmj.2023-019 |
DKMJ-3-2-9.pdf (541 KB)
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