Abnormal Serum Carcinoembryonic Antigen Levels were Normalized by Resection of the Rectosigmoid Colon in a Patient with Gangrenous Ischemic Colitis: A Case Report
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- Nyumura Yuya
- Department of Surgery, Fuji City General Hospital
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- Tsuboi Kazuto
- Department of Surgery, Fuji City General Hospital
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- Tsunematsu Masashi
- Department of Surgery, Fuji City General Hospital
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- Takeda Yasuhiro
- Department of Surgery, Fuji City General Hospital
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- Yoshimoto Kazuhisa
- Department of Surgery, Fuji City General Hospital
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- Kajimoto Tetsuya
- Department of Surgery, Fuji City General Hospital
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- Kashiwagi Hideyuki
- Department of Surgery, Fuji City General Hospital
Bibliographic Information
- Other Title
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- 切除により血清CEAが正常化した壊死性虚血性大腸炎の1例
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Abstract
An 87-year-old male admitted as an emergency with abdominal pain, diarrhea, and vomiting. At the time of admission there was severe tenderness over the whole abdomen. In addition, the serum CEA level was raised as high as 552.6ng/mL, suggesting a high inflammatory reaction. The CT imaging revealed an accumulation of ascites and free air. The patient was diagnosed as having a perforation in the digestive tract and an emergency operation was performed. Necrosis was observed broadly from the transverse to recto-sigmoid colon, so we performed Hartman’s operation. A blood test which was performed 22 days after the operation revealed that the serum CEA level had normalized to 2.4ng/mL and no malignancy was seen in the pathological examination. The final diagnosis was necrotic ischemic colitis. This may be a rare situation, but severe ischemic colitis can be involved in the pathogenesis of high serum CEA levels.
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) 36 (1), 95-98, 2016
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390001204738798464
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- NII Article ID
- 130005149407
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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