A Case of Septic Shock due to Bacterial Translocation from Obstructive Colorectal Cancer

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  • Bacterial translocationにより敗血症性ショックを呈した大腸癌イレウスの1例

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Abstract

An 81 year-old male was delivered to our hospital with the chief complaint of anorexia. Abdominal CT showed obstructive sigmoid colon cancer, and an emergency operation was performed. There was severe enterectasis of the colon but no perforation or obstructive colitis. We performed only a transverse loop colostomy. However, the patient developed septic shock due to bacterial translocation just before the operation. We performed hemodiafiltration and direct hemoperfusion with polymyxin B immobilized fiber under intensive care after the operation. We detected Escherichia cloacae and E. coli from the blood culture. His condition improved, and we performed extubation on postoperative day 6, sigmoidectomy and stoma closure on postoperative day 34, and the patient was discharged on postoperative day 51 after the first operation. Septic shock due to bacterial translocation sometimes occurs in the case of obstructive colon cancer. We need to perform a decompressive procedure and intensive care without delay in such case.

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