子宮留膿腫として発症した直腸癌の１例

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  • A Case of Rectal Cancer Associated with Pyometra.

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A case of rectal cancer associated with pyometra was reported.<BR>A 64-year-old woman was admitted with complaints of lower abdominal pain, high fever and purulent vaginal discharge. Blood laboratory test were normal except for an elevated erythrocyte sedimentation rate (81/117) and leucocytosis. Body CT, barium enema and sigmoidoscopy revealed a stenotic area of 6 cm in length in the rectosigmoid colon and a fistula between rectum and uterus. At laparotomy, the tumor infiltrated into the uterus, and low anterior resection and hysterectomy were performed. Histologically, the tumor was well differen-tiated adenocarcinoma and invaded the myometrium and right ovary.<BR>The patient died of severe acidosis due to intravenous hyperalimentation.

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