WordNet

state of being torn or burst open
the act of making a sudden noisy break
a personal or social separation (as between opposing factions); "they hoped to avoid a break in relations" (同)breach, break, severance, rift, falling out
bear to eat; "He cannot stomach raw fish"
an enlarged and muscular saclike organ of the alimentary canal; the principal organ of digestion (同)tummy, tum, breadbasket
an appetite for food; "exercise gave him a good stomach for dinner"
an inclination or liking for things involving conflict or difficulty or unpleasantness; "he had no stomach for a fight"
a minute epidermal pore in a leaf or stem through which gases and water vapor can pass (同)stomate, pore
a mouth or mouthlike opening (especially one created by surgery on the surface of the body to create an opening to an internal organ)

PrepTutorEJDIC

〈U〉〈C〉(…の)破裂《+『of』+『名』》 / 〈U〉〈C〉(友好的関係などの)決裂,仲たがい / 〈C〉裂け目 / 〈C〉脱腸,ヘルニア / …‘を'破裂させる / 〈友好関係など〉‘を'断ち切る / 破裂する
〈C〉『胃』 / 〈C〉《話》『腹』,腹部(abdomen) / 〈U〉《しばしばa~》(…に対する)食欲《+『for』+『名』》 / 〈U〉《+『for』+『名』》・腹に入れる; 食べる, 消化する; 何とか我慢して飲み下す; （侮辱などを）がまんする
気孔(葉・茎の表皮にあって気体の出入りに役立つ小さな穴)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/12/25 07:43:22」(JST)

wiki en

Gastrointestinal perforation is a complete penetration of any part of the wall of the gastrointestinal tract, which lines the stomach, small intestine or large bowel, resulting in intestinal contents entering the abdominal cavity.

Perforation of the intestines results in the potential for bacterial contamination of the abdominal cavity (a condition known as peritonitis). Perforation of the stomach can lead to a chemical peritonitis due to leaked gastric acid. Perforation anywhere along the gastrointestinal tract is a surgical emergency.

Signs and symptoms

Sudden pain in the epigastrium to the right of the midline indicates perforation of a duodenal ulcer. In a gastric ulcer performation creates a history of burning pain in epigastrium, with flatulence and dyspepsia. A history of drug intake with insufficient food intake may be present.

In intestinal perforation pain starts from the site of perforation and spreads across the abdomen.

Gastrointestinal perforation results in severe abdominal pain intensified by movement, nausea, vomiting and hematemesis. Later symptoms include fever and or chills.

In any case the abdomen becomes rigid with tenderness and rebound tenderness. After some time the abdomen becomes silent and heart sounds can be heard all over. Patient stops passing flatus and motion, abdomen is distended.

Causes

Underlying causes include gastric ulcers, duodenal ulcers, appendicitis, gastrointestinal cancer, diverticulitis, inflammatory bowel disease, superior mesenteric artery syndrome, trauma and ascariasis. Typhoid fever, non-steroidal anti-inflammatory drugs, ingestion of corrosives may also be responsible.^{[citation needed]}

Diagnosis

On x-rays, gas may be visible in the abdominal cavity. Gas is easily visualized on x-ray while the patient is in an upright position. The perforation can often be visualised using computed tomography. White blood cells are often elevated.

Treatment

Treatment depends on the underlying cause. Surgical intervention is nearly always required in form of exploratory laparotomy and closure of perforation with peritoneal wash. Conservative treatment including intravenous fluids, antibiotics, nasogastric aspiration and bowel rest is indicated if the patient is nontoxic and clinically stable. Consultation with a specialist is often needed.

References

External links

Gastrointestinal perforation—MedlinePlus

UpToDate Contents

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1. ブールハーフェ症候群：食道破裂 boerhaave syndrome effort rupture of the esophagus
2. 成人における鈍的胸部外傷の初期評価およびマネージメント initial evaluation and management of blunt thoracic trauma in adults
3. 小児における胸腔内損傷の概要 overview of intrathoracic injuries in children
4. 大動脈峡部の外傷性破裂の経食道心エコー transesophageal echocardiography in traumatic rupture of the aortic isthmus
5. 成人患者における外傷性胃腸障害 traumatic gastrointestinal injury in the adult patient

English Journal

Delayed presentation of diaphragmatic rupture with stomach herniation and strangulation.

Falidas E1, Gourgiotis S1, Vlachos K1, Villias C2.
The American journal of emergency medicine.Am J Emerg Med.2015 Sep;33(9):1329.e1-3. doi: 10.1016/j.ajem.2015.02.052. Epub 2015 Mar 7.
PMID 25795431

Long-term outcomes of percutaneous endoscopic intragastric surgery in the treatment of gastrointestinal stromal tumors at the esophagogastric junction.

Kanehira E1, Kamei A, Umezawa A, Kurita A, Tanida T, Nakagi M.
Surgical endoscopy.Surg Endosc.2015 Jul 23. [Epub ahead of print]
BACKGROUND: The treatment options for gastrointestinal stromal tumors (GITSs) at the esophagogastric junction (EGJ) are controversial. There have been reports on enucleation for EGJ GISTs in order to avoid gastrectomy. But the number of patients is too small, or the follow-up period is too short to
PMID 26201418

Should we really condemn the use of the nasopharyngeal catheter for oxygen therapy?

Bhalotra AR1.
Anaesthesia and intensive care.Anaesth Intensive Care.2015 Jul;43(4):530-1.
PMID 26099771

Japanese Journal

エンドトキシン吸着と持続的血液透析濾過が奏効した特発性胃破裂後敗血症性ショックの6歳小児例

長谷川浩一,小山雅之,小原史生,岩井崇,秋山有史,池田健,雲母公貴,鈴木勝雄
日本透析医学会雑誌 44(1), 73-78, 2011
症例は6歳，男児．平成19年6月26日，昼食後から上腹部痛と嘔吐が出現．翌27日には腹部膨満も現れたため近医を受診後，当院小児科を紹介となり精査・加療目的に入院となった．高熱と頻呼吸を伴うショック状態であったためICUへ入室となった．腹部CTにおいて多量のfree airと腹水，胃・十二指腸・小腸の拡張を認めたため上部消化管の穿孔と考え緊急開腹手術となった．胃上部大彎後壁側の破裂と食物残渣を伴った …
NAID 130000431907

腸重積症を合併した超低出生体重児における胃破裂の1例

深堀優,吉本裕良,高瀬隆太,溝口直子,石井信二,緒方宏美,赤岩正夫,鶴知光,八木実
日本小児外科学会雑誌 46(7), 1156-1159, 2010-12-20
超低出生体重児に発症した胃破裂に腸重積症を合併した非常に稀な1例を経験したので報告する.症例は日齢4の男児.在胎25週4日,胎児仮死徴候のため緊急帝王切開で出生した.出生時体重729g.出生後より排ガス,排便を認めず,4生日に突然の腹部膨満を認めた.腹部X線で著明なfree air像を認めたため,消化管穿孔の診断で緊急開腹手術となった.開腹時所見では胃小弩側に約2cmの破裂部を認め,さらに回腸末端 …
NAID 110007989312

Related Pictures

★リンクテーブル★

関連記事	「rupture」「stoma」

「rupture」

Gastrointestinal perforation
	Free air under the right hemidiaphragm from a bowel perforated.
Classification and external resources
Specialty	gastroenterology, emergency medicine
ICD-10	K63.1, S36.9
ICD-9-CM	569.83, 863.9
DiseasesDB	34042
MedlinePlus	000235
eMedicine	med/2822

　　[★]

n.

破裂、破断、破壊。(医)破裂、断裂。(医)ヘルニア
決裂、断絶。仲違い、不和(between, with)

vt.

破る、裂く、破裂させる。断裂させる、決裂させる。仲たがいさせる
(医)～にヘルニアを起こさせる。

関: abolish、break、breakdown、burst、destroy、destruction、dismantle、disrupt、disruptant、disruption、explode、explosion、laceration、lesion、subversion、subvert

「stoma」

　　[★]

n.

(人工的に設けた消化管の排泄孔)ストーマ、人工肛門、小孔、(植物)気孔

関: colostomy、ostial、ostium、stomal、stomata、stomatal

匿名

検索

案内

案内

stomach rupture