陥入、嵌入、陥入部、(病名)腸重積症、(病名)腸重積

関: impact、impaction、intrusion、intussusception、invaginate、invaginated

WordNet

the condition of being folded inward or sheathed (同)introversion
the folding in of an outer layer so as to form a pocket in the surface; "the invagination of the blastula" (同)introversion, intussusception, infolding
(biology) growth in the surface area of a cell by the deposit of new particles between existing particles in the cell wall
press or wedge together; pack together
a forceful consequence; a strong effect; "the book had an important impact on my thinking"; "the book packs a wallop" (同)wallop
the striking of one body against another
the forcing of molten rock into fissures or between strata of an earlier rock formation
entrance by force or without permission or welcome
rock produced by an intrusive process
a disorder in which a tooth is so crowded in its socket that it cannot erupt normally (同)impacted_tooth
a disorder in which feces are impacted in the lower colon
the condition of being pressed closely together and firmly fixed
sheathe; "The chrysalis is invaginated"
fold inwards; "some organs can invaginate" (同)introvert

PrepTutorEJDIC

〈U〉〈C〉(…の…に対する)衝突,衝撃《+『of』+『名』+『against』(『on』,『upon』,『with』)+『名』》 / 〈C〉(…の…に対する)影響(influence)影響力《+『of』+『名』+『on』(『upon, against』)+『名』》
(意見などを人に)押しつけること《+『of』+『名』+『upon』+『名』》 / (…の)じゃまをすること;(…を)侵害すること《+『on』(『upon』)+『名』》

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/06/24 04:10:21」(JST)

wiki en

[Wiki en表示]

Invagination is the infolding of one part within another part of a structure,^[1] a folding that creates a pocket.^[2] The term, originally used in embryology, has been adopted in other disciplines as well.

Biology

Invagination is the morphogenetic processes by which an embryo takes form, and is the initial step of gastrulation,^[3] the massive reorganization of the embryo from a simple spherical ball of cells, the blastula, into a multi-layered organism, with differentiated germ layers: endoderm, mesoderm, and ectoderm. More localized invaginations also occur later in embryonic development,
The inner membrane of a mitochondrion invaginates to form cristae, thus providing a much greater surface area to accommodate the protein complexes and other participants that produce adenosine triphosphate (ATP).^[4]
Invagination occurs during endocytosis and exocytosis when a vesicle forms within the cell and the membrane closes around it.
Invagination of a part of the intestine into another part is called intussusception.^[5]

Humanities

The term is used to explain a special kind of metanarrative. It was first used by Maurice Merleau-Ponty^[6] (French: invagination) to describe the dynamic self-differentiation of the 'flesh'. It was later used by Rosalind E. Krauss and Jacques Derrida ("The Law of Genre", Glyph 7, 1980); for Derrida, an invaginated text is a narrative that folds upon itself, "endlessly swapping outside for inside and thereby producing a structure en abyme".^[7] He applies the term to such texts as Immanuel Kant's Critique of Judgment^[7] and Maurice Blanchot's La Folie du Jour.^[8] Invagination is an aspect of différance, since according to Derrida it opens the "inside" to the "other" and denies both inside and outside a stable identity.^[2]

Geology

In geology, invagination is used to describe a deep depression of strata. Used by Donald L. Baars in "The Colorado Plateau".

References

^ "Medical Dictionary".
^ ^a ^b Wortham, Simon Morgan (2010). The Derrida Dictionary. Continuum International. p. 76. ISBN 9781847065261. Retrieved 12 January 2013.
^ Alberts (2002). Molecular Biology of the Cell. New York: Garland Science.
^ Cronk, Jeff. "Biochemistry Dictionary". [dead link]
^ Blanco, Felix. "Intussusception". Retrieved 1 November 2012.
^ Merleau-Ponty, Maurice (1968). The Visible and the Invisible. Boston, MA: Northwestern University Press. p. 152. ISBN 0810104571.
^ ^a ^b Chaplin, Susan (2004). Law, Sensibility, and the Sublime in Eighteenth-Century Women's Fiction: Speaking of Dread. Ashgate. p. 23. ISBN 9780754633068. Retrieved 12 January 2013.
^ Jones, Amelia (2003). The Feminism and Visual Culture Reader. Psychology Press. p. 200. ISBN 9780415267069. Retrieved 12 January 2013.

UpToDate Contents

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1. 小児における腸重積症 intussusception in children
2. 小児および思春期における急性腹症の原因 causes of acute abdominal pain in children and adolescents
3. 耳の先天異常 congenital anomalies of the ear
4. 女性用コンドーム female condoms
5. 子宮腺筋症 uterine adenomyosis

English Journal

Evolution of Helix Formation in the Ribosomal Internal Transcribed Spacer 2 (ITS2) and Its Significance for RNA Secondary Structures.

Caisová L1, Melkonian M.
Journal of molecular evolution.J Mol Evol.2014 Jun 8. [Epub ahead of print]
Helices are the most common elements of RNA secondary structure. Despite intensive investigations of various types of RNAs, the evolutionary history of the formation of new helices (novel helical structures) remains largely elusive. Here, by studying the nuclear ribosomal Internal Transcribed Spacer
PMID 24908393

Saphenous vein stripping surgical technique and frequency of saphenous nerve injury.

Jaworucka-Kaczorowska A1, Oszkinis G2, Huber J3, Wiertel-Krawczuk A4, Gabor E4, Kaczorowski P2.
Phlebology / Venous Forum of the Royal Society of Medicine.Phlebology.2014 Jun 6. pii: 0268355514539316. [Epub ahead of print]
OBJECTIVES: Saphenous nerve injury is the most common complication after surgical treatment of varicose veins. The aim of this study was to establish its frequency at great saphenous vein long stripping when four methods of surgery were applied.METHODS: Eighty patients were divided into four groups
PMID 24906907

Magnetic resonance imaging features of complex Chiari malformation variant of Chiari 1 malformation.

Moore HE1, Moore KR.
Pediatric radiology.Pediatr Radiol.2014 Jun 5. [Epub ahead of print]
BACKGROUND: Complex Chiari malformation is a subgroup of Chiari 1 malformation with distinct imaging features. Children with complex Chiari malformation are reported to have a more severe clinical phenotype and sometimes require more extensive surgical treatment than those with uncomplicated Chiari
PMID 24898393

Transoral approach to extradural non-neoplastic lesions of the craniovertebral junction.

Perrini P1, Benedetto N, Di Lorenzo N.
Acta neurochirurgica.Acta Neurochir (Wien).2014 Jun;156(6):1231-6. doi: 10.1007/s00701-014-2057-1. Epub 2014 Mar 15.
BACKGROUND: The transoral approach allows for an unobstructed anterior view of the craniovertebral junction from the lower clivus to C1 and C2. It can be applied to a heterogeneous spectrum of pathological lesions involving this area including craniovertebral junction malformations, atlanto-axial sy
PMID 24633988

Japanese Journal

Subcutaneous Soft Tissue Sarcoma with Rhabdoid Features in a Dog

SAYAMA Ayako,OKADO Keiko,IMAOKA Masako,YOKOUCHI Yusuke,JINDO Toshimasa,TAKASAKI Wataru
Journal of Toxicologic Pathology, 2014
… Cytoplasmic inclusions of rhabdoid-featured cells in HE sections were composed of aggregates of intermediate filaments, and cytoplasmic vacuoles were identified as an invagination of cytoplasm. …
NAID 130003391343

臨床報告胃軸捻転症と脾臓嵌入を合併した横隔膜傍裂孔ヘルニアの1例

渡辺和英,金木昌弘,田畑敏 [他]
臨床外科 = Journal of clinical surgery 68(6), 725-728, 2013-06
NAID 40019692331

Heterotrimeric G protein signaling governs the cortical stability during apical constriction in Drosophila gastrulation.

Kanesaki Takuma,Hirose Susumu,Grosshans Joerg,Fuse Naoyuki
Mechanisms of development 130(2-3), 132-142, 2013-02
… During gastrulation in Drosophila melanogaster, coordinated apical constriction of the cellular surface drives invagination of the mesoderm anlage. …
NAID 120005242579

Development of cranial placodes : Insights from studies in chick

Jidigam Vijay K.,Gunhaga Lena
Development, growth & differentiation 55(1), 79-95, 2013-01
NAID 40019549286

「腸重積」

　　[★]

英: intussusception, invagination, telescoped bowel
ラ: invaginatio, intussusceptis
同: 腸重積症、腸重畳症、腸重鞘症
ICD-10: K56.1
関: 絞扼性イレウス

[show details]

腸重積症 : 約 72,300 件
腸重積 : 約 237,000 件

概念

口側腸管が肛門側腸管内に嵌入。絞扼性イレウスの一種　←　腸間膜が陥入部位で絞扼され腸管の血行障害をきたす
回腸が結腸に嵌入するものが最も多い
腹痛、嘔吐、血便が特徴的。

疫学

男女比2:1で男児に多い (小児科学第2版 p.1035)
2歳以下の乳幼児に認められ、特に4-9ヶ月の乳児に好発 (小児科学第2版 p.1035)
6か月-2歳児までに多い。男児に多い。
それ以降では基礎疾患の存在が疑われる：polyp、Meckel憩室、悪性リンパ腫など

好発部位

回盲部。

回盲部が大腸に引き込まれる
回盲部腸重積は10歳以下、特に1歳以下の乳幼児に多く見られる(SSUR.555)

病因

何らかの誘因(ポリープ等)により、肛門側の腸の蠕動運動より口側の腸管がはまりこんでしまうことが原因

特に成人の場合は腸管の腫瘍が原因となることが少なくない。潰瘍、継室でも起こりうる。(SSUR.555)

病態

口側腸管の虚血。

腹痛、嘔吐、粘血便(イチゴゼリー様)、

症候

3主徴：腹痛、嘔吐、粘血便

血便(粘血便)

腸管陥入による患部の出血や浮腫による

嘔吐、腹痛

腹膜刺激による

腹部腫瘤(上腹部に多い)

Dance徴候(回盲部が陥凹。右下腹部に空虚な部分が出現。右下腹部にある回盲部が上行結腸に引き込まれるため、本来あるはずの回盲部が右下腹部からなくなり、基本的身体検査で空虚に感じられる)

間欠的啼泣：啼泣は間欠的で、その後ぐったりとしている：肛門側腸が2-3時間おきに蠕動するため。

診断

血便の確認
注腸造影

口側腸管の嵌入先進部：蟹爪状/カニ爪様陰影、杯状、手風琴様陰影欠損

超音波検査

腸管陥入像ターゲットサイン target sign、pseudokidney sign

CT

ターゲットサイン target sign
hayfork sign：長軸方向の断層像で外筒と内筒がサンドイッチのように見える所見(QB.A-207)
multiple concentric sign：同心円状の断層像

治療

(小児例)

非観血的整復：バリウムや空気にて整復。
手術：24時間以上経過例、小腸-小腸型、あるいは腸管の穿孔のおそれがあるときに適応

(成人例)

手術的かつ用手的に重積を解除(ハッチンソン手技)
腫瘍が原因であれば、腸管切除

参考

wiki ja

http://ja.wikipedia.org/wiki/%E8%85%B8%E9%87%8D%E7%A9%8D

blogspot.com

http://healthforworld.blogspot.com/2008/11/intussusception.html

国試

101G031、099A031

「impact」

　　[★]

n.

衝撃、打撃、衝突。影響、影響力

vt.

しっかり固定する。密着させる、詰め込む(into, in)。～に衝突する。強く打つ/たたく、たたきつける。～に強い衝撃/影響を与える。～に有害/不利な影響を与える、逆効果的である

vi.

強い衝撃/影響を与える。強く当たる(on, against)。有害/不利な影響を与える。

cholecystitis is usually cased by a gallstone impacting in the cystic duct. ←("嵌入する"の意味で用いられている)

関: affect, effect, impaction, impinge, impulse, impulsive, influence, intrusion, invaginate, invagination, percussion

「intrusion」

　　[★]

n.

侵入、嵌入

関: entry、impact、impaction、intrude、invade、invaginate、invagination、invasion、invasive、penetrate、penetration

「嵌入」

　　[★]

英: invagination、impaction、intrusion、impact、invaginate
関: 影響、陥入、衝撃、侵入、腸重積症、腸重積、陥入部、インパクト

「invaginate」

　　[★]

陥入する、嵌入する

関: impact、impaction、intrusion、invaginated、invagination

[1] "Medical Dictionary".

[wortham-2] Wortham, Simon Morgan (2010). The Derrida Dictionary. Continuum International. p. 76. ISBN 9781847065261. Retrieved 12 January 2013.

[3] Alberts (2002). Molecular Biology of the Cell. New York: Garland Science.

[4] Cronk, Jeff. "Biochemistry Dictionary". [dead link]

[5] Blanco, Felix. "Intussusception". Retrieved 1 November 2012.

[6] Merleau-Ponty, Maurice (1968). The Visible and the Invisible. Boston, MA: Northwestern University Press. p. 152. ISBN 0810104571.

[chaplin-7] Chaplin, Susan (2004). Law, Sensibility, and the Sublime in Eighteenth-Century Women's Fiction: Speaking of Dread. Ashgate. p. 23. ISBN 9780754633068. Retrieved 12 January 2013.

[8] Jones, Amelia (2003). The Feminism and Visual Culture Reader. Psychology Press. p. 200. ISBN 9780415267069. Retrieved 12 January 2013.

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案内

案内

invagination