A case of ileus caused by a fecalith in an elderly patient with severe dementia
An 82-year-old woman with severe dementia, living in a nursing home, had severe chronic constipation, possibly due to the presence of multiple risk factors for constipation such as a past history of abdominal open surgery, diabetes, hypothyroidism, and bedridden status. She visited our department ac...
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| Veröffentlicht in: | Nihon Rōnen Igakkai zasshi 2011, Vol.48(3), pp.289-292 |
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| container_issue | 3 |
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| container_title | Nihon Rōnen Igakkai zasshi |
| container_volume | 48 |
| creator | Yano, Hiroyuki Tsunoda, Misako Sekimizu, Kenichi Futami, Shoko Watanabe, Kentaro Igari, Yoshimasa Suzuki, Tatsuya Nakano, Hiroshi Oba, Kenzo |
| description | An 82-year-old woman with severe dementia, living in a nursing home, had severe chronic constipation, possibly due to the presence of multiple risk factors for constipation such as a past history of abdominal open surgery, diabetes, hypothyroidism, and bedridden status. She visited our department accompanied by nursing staff with complaints of nausea and vomiting. Abdominal X-ray films and computed tomography (CT) images showed ileus. We diagnosed strangulation ileus, and performed an emergency laparotomy. There was a mobile cystic lesion located 180 cm from the ileocecal junction which was causing the intestinal obstruction. The cystic lesion was surgically removed via an enterotomy. The greatest dimensions of the cystic lesion were 5×3 cm, and it was histologically diagnosed as a fecalith. We report a rare case of ileus caused by a fecalith in an elderly patient. |
| doi_str_mv | 10.3143/geriatrics.48.289 |
| format | Article |
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She visited our department accompanied by nursing staff with complaints of nausea and vomiting. Abdominal X-ray films and computed tomography (CT) images showed ileus. We diagnosed strangulation ileus, and performed an emergency laparotomy. There was a mobile cystic lesion located 180 cm from the ileocecal junction which was causing the intestinal obstruction. The cystic lesion was surgically removed via an enterotomy. The greatest dimensions of the cystic lesion were 5×3 cm, and it was histologically diagnosed as a fecalith. 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She visited our department accompanied by nursing staff with complaints of nausea and vomiting. Abdominal X-ray films and computed tomography (CT) images showed ileus. We diagnosed strangulation ileus, and performed an emergency laparotomy. There was a mobile cystic lesion located 180 cm from the ileocecal junction which was causing the intestinal obstruction. The cystic lesion was surgically removed via an enterotomy. The greatest dimensions of the cystic lesion were 5×3 cm, and it was histologically diagnosed as a fecalith. We report a rare case of ileus caused by a fecalith in an elderly patient.</description><subject>Aged, 80 and over</subject><subject>Chronic constipation</subject><subject>Dementia</subject><subject>Dementia - complications</subject><subject>Elderly</subject><subject>Fecal Impaction - complications</subject><subject>Fecalith</subject><subject>Female</subject><subject>Humans</subject><subject>Ileus</subject><subject>Ileus - etiology</subject><issn>0300-9173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkD1PwzAQhj2AaPn4ASzIG1OKv5I4Y1VRQKrUBWbr6pxbV_kodgLqvydVS5FY7nR3zz3DS8g9ZxPJlXxaY_DQBW_jROmJ0MUFGTPJWFLwXI7IdYxbxtJUZeKKjATPc52lakyWU2ohIm0d9RX2cZj6iCVd7SlQhxYq322obyg0FKsSQ7WnO-g8Nh39PpwifmFAWmI9rDzckksHVcS7U78hH_Pn99lrsli-vM2mi8QKJoukSEsQWhTCOcYLmVkHikuZrjK9giJloJ1AUJJBJl1Z2hIzgTznPFU244PihjwevbvQfvYYO1P7aLGqoMG2j0bnWguminQg-ZG0oY0xoDO74GsIe8OZOURn_qIzSpshuuHn4WTvVzWW54_f3AZgfgS2sYM1ngEInbcV_lPKYxnMZ8BuIBhs5A9BoYgm</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Yano, Hiroyuki</creator><creator>Tsunoda, Misako</creator><creator>Sekimizu, Kenichi</creator><creator>Futami, Shoko</creator><creator>Watanabe, Kentaro</creator><creator>Igari, Yoshimasa</creator><creator>Suzuki, Tatsuya</creator><creator>Nakano, Hiroshi</creator><creator>Oba, Kenzo</creator><general>The Japan Geriatrics Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>A case of ileus caused by a fecalith in an elderly patient with severe dementia</title><author>Yano, Hiroyuki ; Tsunoda, Misako ; Sekimizu, Kenichi ; Futami, Shoko ; Watanabe, Kentaro ; Igari, Yoshimasa ; Suzuki, Tatsuya ; Nakano, Hiroshi ; Oba, Kenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2039-95da28292ff01936cfa41335b68ba950a8f2ea430a63fddcde62e171154c61203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2011</creationdate><topic>Aged, 80 and over</topic><topic>Chronic constipation</topic><topic>Dementia</topic><topic>Dementia - complications</topic><topic>Elderly</topic><topic>Fecal Impaction - complications</topic><topic>Fecalith</topic><topic>Female</topic><topic>Humans</topic><topic>Ileus</topic><topic>Ileus - etiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Yano, Hiroyuki</creatorcontrib><creatorcontrib>Tsunoda, Misako</creatorcontrib><creatorcontrib>Sekimizu, Kenichi</creatorcontrib><creatorcontrib>Futami, Shoko</creatorcontrib><creatorcontrib>Watanabe, Kentaro</creatorcontrib><creatorcontrib>Igari, Yoshimasa</creatorcontrib><creatorcontrib>Suzuki, Tatsuya</creatorcontrib><creatorcontrib>Nakano, Hiroshi</creatorcontrib><creatorcontrib>Oba, Kenzo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nihon Rōnen Igakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yano, Hiroyuki</au><au>Tsunoda, Misako</au><au>Sekimizu, Kenichi</au><au>Futami, Shoko</au><au>Watanabe, Kentaro</au><au>Igari, Yoshimasa</au><au>Suzuki, Tatsuya</au><au>Nakano, Hiroshi</au><au>Oba, Kenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of ileus caused by a fecalith in an elderly patient with severe dementia</atitle><jtitle>Nihon Rōnen Igakkai zasshi</jtitle><addtitle>Nippon Ronen Igakkai Zasshi</addtitle><date>2011</date><risdate>2011</risdate><volume>48</volume><issue>3</issue><spage>289</spage><epage>292</epage><pages>289-292</pages><issn>0300-9173</issn><abstract>An 82-year-old woman with severe dementia, living in a nursing home, had severe chronic constipation, possibly due to the presence of multiple risk factors for constipation such as a past history of abdominal open surgery, diabetes, hypothyroidism, and bedridden status. 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| ispartof | Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics, 2011, Vol.48(3), pp.289-292 |
| issn | 0300-9173 |
| language | jpn |
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| source | J-STAGE Free; MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Aged, 80 and over Chronic constipation Dementia Dementia - complications Elderly Fecal Impaction - complications Fecalith Female Humans Ileus Ileus - etiology |
| title | A case of ileus caused by a fecalith in an elderly patient with severe dementia |
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