A Successful Case of Pseudo-Obstruction After Femoral Hernia Radical Operation Treated with Chukenchutokatoki
10.3937/kampomed.66.99
- VernacularTitle:中建中湯加当帰が奏効した大腿ヘルニア術後偽性腸閉塞症の一例
- Author:
Hiromi YANO
;
Eiichi TAHARA
;
Yuko TANAKA
;
Junji MURAKAMI
;
Hiromi MAEDA
;
Yui ITO
;
Ryo YOSHINAGA
;
Koso UEDA
;
Junichiro DOKURA
;
Hiroki INOUE
;
Hisashi INUTSUKA
;
Tadamichi MITSUMA
- Publication Type:Journal Article
- Keywords:
abdominal pain;
ileus;
chukenchutokatoki;
pseudo-obstruction
- From:Kampo Medicine
2015;66(2):99-106
- CountryJapan
- Language:Japanese
-
Abstract:
A 54-year-old female had left femoral incarcerated hernia. One month later, she received a radical operation for it, but was admitted to our hospital twice because of ileus. Various tests showed no mechanical intestinal obstruction, but small-intestinal edema. She was transferred to our department to receive Kampo medicine. She could not eat any food and her weight decreased from 47 to 37.5 kg. We therefore administered intravenous hyperalimentation. She had a cold sweat on her face and was prone to bed rest because of severe abdominal pain as if in labor, and general fatigue. Her skin was dry, her radial pulse was weak and her abdominal tonus was weak. In addition, lower abdominal tension was more intense than upper and we could observe bowel movements from her skin. At first, we administered bushikobeito, but it had no effect. Referring to her abdominal findings, we considered that daikenchuto and tokikenchuto were compatible in her case, and after changing to chukenchutokatoki her abdominal pain disappeared in 5 days. Thus, Kampo medicine was effective for post-operative pseudo-obstruction.
