An autopsy case of penetration of a sigmoid colon diverticulum with septic shock during the treatment of lung cancer-related pain
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- HAGA Tomoaki
- Department of Cardiology, Toyota Kosei Hospital
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- SHIBAHARA Hiroaki
- Department of Palliative Care, Toyota Kosei Hospital
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- NARITA Michihiko
- Department of Pathology, Toyota Kosei Hospital
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- OKUBO Kenji
- Department of Gastroenterology, Toyota Kosei Hospital
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- NISHIMURA Daisaku
- Department of Internal Medicine, Toyota Kosei Hospital
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- KATADA Naoyuki
- Department of Internal Medicine, Toyota Kosei Hospital
Bibliographic Information
- Other Title
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- 肺癌による癌性疼痛治療中に敗血症性ショックとなり死亡したS状結腸憩室漿膜下穿通の1剖検例
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Abstract
A 70-year-old man presented with septic shock and abdominal pain during treatment of pain caused by stage IV lung adenocarcinoma. CT revealed air collection from the retroperitoneum to the muscle around the thigh. Septic shock due to retroperitoneal penetration from the digestive tract was suspected. Despite treatment attempts, the patient died. The autopsy diagnosis was penetration of a sigmoid colon diverticulum under the serosa. When a diverticulum is located near the mesenterium and the size of penetration is small, the air collection rather than fecal matter is likely to extend retroperitoneally. Abdominal pain is little manifest in the penetration in contrast to perforation into abdominal cavity, and the attention is needed.
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 112 (2), 297-306, 2015
The Japanese Society of Gastroenterology