非特異的炎症により下部直腸の全周性狭窄をきたした1例

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  • A RESECTED CASE OF LOWER RECTAL STRICTURE WITH NON-SPECIFIC PROCTITIS

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We herein present a resected case of nonspecific inflammatory stricture in the lower rectum. A 52-year-old man was admitted to the hospital because of diabetic coma on December 9, 1995. On physical examination, he was in poor general condition and his body temperature was 38.0°C. Abdominal palpation revealed no abnormal findngs. Diarrhea started on the 10th hospital day and thereafter insufficient evacuation appeared gradually. The cut-off index for antibody to Chlamidia trachomatis was positive. All other rectal cultures, stool cultures examined for any bacterias, ova and parasites and serum samples for shiphilis and others were negative. Barium enema study showed a whole-circumferential narrowing of the lower rectum. Colonoscopy showed a shallow ulcer and the granural mucosal change. Biopsy specimens showed nonspecific inflammatory findings and no evidence of neoplasm. Rectal resection including the stricture and ano-rectal anastomosis with covering colostomy were performed. There have been no symptoms of the disease as of 2 years after the operation.

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