書誌事項
- タイトル別名
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- A Case of Multiple Small-Intestinal Diverticula Fraught with Ulcer Found by Melena.
- ゲケツ オ ケイキ ニ ハッケン サレタ カイヨウ オ トモナウ タハツ ショウチョウ ケイシツショウ ノ 1レイ
- ショウレイ ホウコク ゲケツ オ ケイキ ニ ハッケン サレタ カイヨウ オ トモナウ タハツ ショウチョウ ケイシツショウ ノ 1レイ
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We report a rare case of multiple duodenal diverticula associated with ulcer accompanied by melena. A 70-year-old level woman undergone treatment for Hodgkin disease. Anemia was revealed by blood examination, but focus of gastrointestinal hemorrhage was not revealed by esophagogastroduodenoscopy and colonoscopy.However, melena was continued and small intestinal hemorrhage was suspected. Extravasation of contrast medium was not seen, but a diverticulum of the jejunum was found on enhanced-CT. Single-balloon endoscopy introduced orally revealed multiple ulcers in the duodenum, jejunum, and ileum and a diverticulum in the jejunum proximal to the ligament of Treitz. Ulcers and ulcer scars were found in the diverticula. Diclofenac sodium was taken habitually and bowel mucosal damage respected to NSAIDs was suspected. Bowel residues retain easily in diverticula and high concentration NSAIDs grew stagnant. That was thought of as cause of wide ulcer. Therefore we have to administer NSAIDs to a case of small-intestine diverticulum.
収録刊行物
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- 山口医学
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山口医学 62 (1), 39-42, 2013
山口大学医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679812218368
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- NII論文ID
- 10031139793
- 130004476012
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- NII書誌ID
- AN00243156
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- ISSN
- 18804462
- 05131731
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- NDL書誌ID
- 024277745
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- IRDB
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可