title: A case of intestinal obstruction caused by prominent kyphosis resulting in compression of the intestine by the costal arch.
abstract: An 85-year-old woman with no history of abdominal surgery complained of abdominal pain and vomiting and was referred to us with a diagnosis of intestinal obstruction a few days later. Upon admission to our facility, she presented with marked abdominal swelling and prominent kyphosis. Because of the kyphosis, most of the dilated bowel was compressing her thoracic cavity. No obvious strangulation or free air was observed via abdominal computed tomography imaging. We attempted decompression using a nasogastric tube, but the symptoms persisted. Surgery was performed 2 days after admission. The origin of the obstruction was a compression of the ileocecal region by the costal arch. The bowel was discolored, and thus surgically excised. There were no major postsurgical complications other than a mild wound infection. Until now, there have been no reports of advanced kyphosis inducing ileus, but there are concerns of an increase in similar cases as society continues to age.
authors: Department of Surgery, National Hospital Organization Mito Medical Center, Ibaraki, Japan.
authors: Satoshi
authors: S
authors: Yoneyama
authors: Takehito
authors: T
authors: Kato
authors: Tetsuya
authors: T
authors: Yumoto
authors: Masami
authors: M
authors: Ohwada
authors: Toru
authors: T
authors: Terashima
authors: Masanori
authors: M
authors: Koizumi
authors: Hamaichi
authors: H
authors: Ueki
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D045823:Ileus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D007738:Kyphosis / Q000150:complications*
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