A Case Report on Recurrent Ileus Treated with Shimbuto in a Patient undergoing Maintenance Hemodialysis
10.3937/kampomed.63.330
- VernacularTitle:再発性イレウスに対し真武湯が奏効した維持透析患者の1例
- Author:
Kentaro WADA
- Publication Type:Journal Article
- Keywords:
hemodialysis;
ileus;
shimbuto
- From:Kampo Medicine
2012;63(5):330-335
- CountryJapan
- Language:Japanese
-
Abstract:
In this report, the author describes a case of recurrent ileus (intestinal obstruction) successfully treated with shimbuto. The patient was a 58-year-old man having been undergoing maintenance hemodialysis (HD) for 8 years. He had a history of laparotomy in his childhood. He had been admitted to the hospital frequently for recurrent ileus over the past 2 years. Although he was prescribed pantothenic acid, dinoprost, daikenchuto, and hangeshashinto, these medicines did not work. Eventually, he was transferred to our hospital. On admission, he suffered from abdominal pain and vomiting. Abdominal radiographics showed small intestine gases. Ab dominal CT, PET-CT, gastrointestinal endoscopy, colonoscopy, enteroscopy, and enterography through an ileus tube were performed to examine the cause of obstruction, however, no mass nor volvulus was observed. He recovered from the nausea and pain subsequent to ileus after taking shimbuto. At present, he has been pre scribed shimbuto without any recurrence of ileus for over 10 months. Patients undergoing maintenance HD are generally in a state of chronic water metabolism abnormality (suitai), abnormal defecation, and coldness in the extremities. Thus, the use of shimbuto for ileus might be recommended in patients undergoing HD.
