Diversion Colitis and Proctitis. A Case Report.

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  • 空置大腸に発生した腸炎（Ｄｉｖｅｒｓｉｏｎ　Ｃｏｌｉｔｉｓ　ａｎｄ　Ｐｒｏｃｔｉｔｉｓ）の１例

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In 1981 Glotzer reported ten cases with colitis and proctitis in segments of the colorectum after surgical diversion of the fecal stream. Though this colitis is similar with ulcerative colitis and Crohn's disease in both histological findings and clinical manifestations, should be differentiated from the latters, especially from the view point of therapy.<BR>W e experienced one case with diversion colitis and proctitis. As far as we studied there has been no report about this disease in Japan and we reported.<BR>A previously healthy 70 year old man had transversecolectomy for adenocarcinoma with a mucous fistulae and a colostomy of the descending colon on May 1988. One year and five monthes after operation the patient noticed fresh bloody mucous discharge from the anus and later from the mucous fistulae. The discharge continued intermittently. Barium enema and colonofiberoptic examination of the diverted colon was performed. The mucosa was erosive, erythematous and friable and similar to one of mild ulcerative colitis. Mucosal biopsy showed non specific inflammation. No pathogen bacterial growth was obtained by culture of a content from the colon. Laboratory data were within normal limits.

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