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A Case of Rectal Cancer with Obstructive Colitis Induced Laxative
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- Kaida Shogo
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Arahata Kyoko
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Ito Asako
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Takarabe Sakiko
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Kimura Kayoko
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Kishikawa Hiroshi
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Nishida Jiro
- Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital
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- Matsui Jyunichi
- Department of Surgery, Tokyo Dental College, Ichikawa General Hospital
Bibliographic Information
- Other Title
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- 大腸内視鏡検査前処置の下剤(sodium picosulfate hydrate)により閉塞性大腸炎をきたした直腸癌の1例
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Description
A 75-year-old woman was admitted to our hospital with severe abdominal pain and hypotension after ingesting a laxative to prepare for a colonoscopy. Emergency colonoscopy showed a sub-circular tumor in the rectum and dilation of colon with dark red discoloration was observed in the oral side of the tumor, based on which we diagnosed the patient as having obstructive colitis. Because of the poor general condition of the patient, we determined that emergency surgery would be difficult. Therefore, we tried decompression using a colorectal tube. Her general condition improved, however, emergency surgery was performed because perforation occurred on the 17th day. Intraoperatively, ulceroinflammatory lesions were observed reaching up to the ascending colon, so a total colectomy and ileostomy were performed. Not many reported cases of colorectal tube placement for this disease have appeared so far, and emergency surgery has been performed in many cases. In our case, we considered that there was a certain significance in the colorectal tube placement as a symptomatic treatment to wait for the recovery of the patient’s general condition. For patients in whom colonic stenosis is suspected, taking the occurrence of this disease into consideration, we should carefully think about administering colon-clearing laxatives.
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) 34 (8), 1541-1546, 2014
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390282679714460288
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- NII Article ID
- 130005062585
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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