A Case of Collagenous Colitis Causing Colonic Penetration
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- Kuroda Kenji
- Departmet of Surgery, Kashiwara Municipal Hospital
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- Nakata Bunzo
- Departmet of Surgery, Kashiwara Municipal Hospital
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- Tendo Masashige
- Departmet of Surgery, Kashiwara Municipal Hospital
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- Nakao Shigetomi
- Departmet of Surgery, Kashiwara Municipal Hospital
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- Hori Takeshi
- Departmet of Surgery, Kashiwara Municipal Hospital
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- Yokomatsu Hideaki
- Sakai Yamaguchi Hospital
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- Nishishita Masakazu
- Nishishita Gastrointestinal Hospital
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- Ishikawa Tetsuro
- Departmet of Surgery, Kashiwara Municipal Hospital
Bibliographic Information
- Other Title
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- 腸間膜穿通をきたしたcollagenous colitisの1例
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Abstract
A 72-year-old man presenting with sudden left-sided abdominal pain and watery stools was found by abdominal computed tomography to have extra-intestinal gas and inflammation of the adipose tissue corresponding to the descending colon. Under a suspected diagnosis of a colonic penetration, emergency diagnostic laparoscopy was performed. As the splenic flexure of the colon was found to penetrate into the mesentery, a segmental colonic resection including the penetrating lesion was performed laparoscopically. With the macroscopic finding of two longitudinal mucosal ulcerations and the microscopic finding of a thickened subepithelial collagen band, the patient was diagnosed as having collagenous colitis. The patient gave a history of treatment with oral lansoprazole for 5 months, and proton pump inhibitors are well-recognized as being among the possible causes of collagenous colitis. Administration of lansoprazole was stopped, and the patient has had no abdominal pain or watery stools until date, 6 months after the surgery.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 35 (3), 293-297, 2015
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204738387328
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- NII Article ID
- 130005075918
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed