A Case of Diverticulitis of Sigmoid Colon Combined with Intramesenteric Abscess
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- Sato Rikiya
- Department of Surgery, Kawamura Hospital
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- Kawamura Muneo
- Department of Surgery, Kawamura Hospital
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- Kawamura Takeshi
- Department of Surgery, Kawamura Hospital
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- Sasaki Kuniaki
- Department of Surgery, Kawamura Hospital
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- Hosono Tomohiro
- Department of Surgery, Kawamura Hospital
Bibliographic Information
- Other Title
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- 腸間膜膿瘍を合併したS状結腸憩室炎の1例
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Abstract
A 51-year-old man visited our hospital with left lower abdominal pain. Computed tomography (CT) demonstrated inflammatory findings around the sigmoid colon, and diverticulitis was clinically suspected. Symptoms were not improved by active conservative treatments. Abdominal contrast-enhanced CT and ultrasonography (US) revealed an intramesenteric abscess related to diverticulitis of the sigmoid colon. In this case, partial sigmoid colectomy was selected as a curative treatment. The histopathology of the resected specimen showed an edematous change of the submocosa, infiltration of inflammatory cells into all the layers of the sigmoid colon, and intramesenteric abscess. Perforation and intraabdominal abscess are well-known complications in cases of colon diverticulitis, however, intramesenteric abscess is uncommon. We review the literature, including our case, in the discussion.
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 66 (1), 19-23, 2013
The Japan Society of Coloproctology
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Details 詳細情報について
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- CRID
- 1390282679831840000
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- NII Article ID
- 130003369819
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed