異時性大腸癌に対して２度の腸切後，残存結腸に生じた，穿孔を伴う壊そ型虚血性大腸炎の１切除例

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  • A Case of Perforated Gangrenous-Type Ischemic Colitis after Second Colorectomy for Colorectal Cancer.

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The patient was a 70-year-old female, who experienced right hemicolectomy for transverse colon cancer six years ago. This time, she had rectal cancer when admitted to our hospital and low anterior resection was perfomed. She complained of sudden left lateral abdominal pain after 3 P. O. D. By Barium enema, a diagnosis of perforated gangrenous-type ischemic colitis and abdominal fistula formation on descending colon was made. In spite of conservative therapies for several weeks, severe stenosis of the descending colon remained. Descending colectomy was performed 4 mouths after the first operation. The resected specimen showed a thickened bowel wall and marked irregularity of the mucosa accompanied by ulcers. After the operation, the patient was discharged from the hospital.

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