Obstructive colitis induced by laxative—a case report—

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  • JIMI Sei-ichiro
    Department of Surgery, National Hospital Organization Kokura Medical Center
  • HOTOKEZAKA Masayuki
    Department of Surgery, National Hospital Organization Kokura Medical Center
  • YAMAGATA Hajime
    Department of Gastroenterology, National Hospital Organization Kokura Medical Center
  • MATSUKI Yasumasa
    Department of Second Pathology and Cell Biology, University of Occupational and Environmental Health
  • SHINAGAWA Yuji
    Department of Surgery, National Hospital Organization Kokura Medical Center
  • TSUTSUMI Nobuo
    Department of Surgery, National Hospital Organization Kokura Medical Center

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Other Title
  • 下剤が誘因となり閉塞性大腸炎を発症したS状結腸癌の1例
  • 症例 下剤が誘因となり閉塞性大腸炎を発症したS状結腸癌の1例
  • ショウレイ ゲザイ ガ ユウイン ト ナリ ヘイソクセイ ダイチョウエン オ ハッショウ シタ Sジョウ ケッチョウ ガン ノ 1レイ
  • Obstructive colitis induced by laxative^|^mdash;a case report^|^mdash;

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Abstract

A 57-year-old woman was referred to our hospital with melena and anemia. Abdominal computed tomography revealed swollen adrenal glands. After ingesting 24 mg of Sennoside to prepare for a radio-isotope examination, she developed abdominal pain and hypotension. After we performed an emergency sigmoid-colostomy, she was free from hypotension and abdominal pain. An examination by colonoscopy via the colostomy revealed longitudinal colonic ulcerations.<BR>We performed a left colectomy, hysterectomy and partial resection of the small intestine, due to the possibility of direct invasion. We found 3 lines of longitudinal ulceration 25 cm long located 20 cm above the sigmoid colon cancer. We diagnosed her as having obstructive colitis.

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