[Case of magnetic compression anastomosis between the jejunum and the ascending colon after perforation of ileum due to intestinal tuberculosis complicated acquired immuno-deficiency syndrome].
In May in 2006, a 48-year-old man admitted to our hospital for the treatment of tuberculosis and AIDS. Three weeks before the admission, he had been undergone emergency ileo-cecal resection due to the tubercular perforations of ileum and peritonitis. The double stomas of jejunum and ascending colon had made and been separated each other. When oral intake was started, a lot of intestinal juice was discharged from the stoma. Because of low level of white blood cell, the anastomosis between jejunum and ascending colon was suspended for a while. In March in 2007, magnetic compression anastomosis using Yamanouchi's method was performed for care of the dehydration and renal function due to a lot of jeunal juice discharge. With radiography, two magnets were placed in the jeunum and ascending colon through the stomas severally, and attached the walls of the intestines. Eight days after the maneuver, the anastomosis was completed without complication. Two months later, with general anestasia, the stomas were closed.
Yukawa
Norio
N
Department of Surgery, Yokohama City University Hospital. nryukawa@mac.com
Rino
Yasushi
Y
Yamanouchi
Eigoro
E
Saeki
Hiroyuki
H
Kanari
Masahiro
M
Ueda
Atsuhisa
A
Masuda
Munetaka
M
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000714:Anastomosis, Surgical / Q000379:methods*; D044682:Colon, Ascending / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D007583:Jejunum / Q000601:surgery*; D008280:Magnetics; D008297:Male; D008875:Middle Aged; D014385:Tuberculosis, Gastrointestinal / Q000150:complications*