A Case of Stercoral Colon Perforation-Effect of Polymyxin B Direct Hemoperfusion Treatment-
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- Fukuda Naoto
- Department of Surgery, Kawasaki Kyodo Hospital
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- Wada Joji
- Department of Surgery, Kawasaki Kyodo Hospital
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- Takahashi Shigeo
- Department of Surgery, Kawasaki Kyodo Hospital
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- Takahasi Katsuyuki
- Department of Surgery, Kawasaki Kyodo Hospital
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- Niki Michio
- Department of Surgery, Kawasaki Kyodo Hospital
Bibliographic Information
- Other Title
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- 宿便性大腸穿孔の1例―エンドトキシン吸着療法の効果―
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Description
A 74-year old female was admitted to our hospital because of a lower abdominal pain and vomiting. Acutepanperitonitis caused by a gastrointestinal perforation was suspected because of muscular defense throughout her entireabdomen and diffuse pneumoperitoneum findings during a computed tomography examination. An emergency laparotomywas performed based on a preoperative diagnosis of colon perforation, since the patient's laboratory resultsrevealed leukopenia at the time of admission. During the operation, a thumb-sized round perforation with sharp edgeswas found in the sigmoid colon, and several hard stools were scattered in the peritoneal cavity close to the perforationsite. Moreover, the proximal side of the perforation was packed with a large amount of hard stools up to the ascendingcolon. Based on these clinical findings, a diagnosis of stercoral colon perforation was made and a sigmoidectomy withcolostomy was performed. Because the leukopenia persisted after the operation, the patient underwent a polymyxin Bdirect hemoperfusion (PMX-DHP) treatment on the same day. The patient's leukopenia improved on the followingday, and her postoperative course was favorable without any complications, such as respiratory failure or surgical siteinfection. She was discharged from hospital on postoperative day 29. PMX-DHP treatment might be useful forpromoting a favorable postoperative course in patients with colon perforations and preoperative leukopenia.
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) 26 (6), 779-783, 2006
Japanese Society for Abdominal Emergency Medicine
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Keywords
Details 詳細情報について
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- CRID
- 1390282679710239744
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- NII Article ID
- 130004243501
- 10019260030
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- NII Book ID
- AN10426469
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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