A Case of Ischemic Colitis Due to Venous Stasis Occurring Half a Year after Laparoscopic Sigmoidectomy
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- Tsuchiya Yasunori
- Department of Surgery, Imizu Municipal Hospital
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- Omura Tetsuya
- Department of Surgery, Imizu Municipal Hospital
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- Ota Nagayoshi
- Department of Surgery, Imizu Municipal Hospital
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- Hojo Shozo
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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- Matsui Koshi
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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- Yoshioka Isaku
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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- Okumura Tomoyuki
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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- Nagata Takuya
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
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- Shimada Katsuo
- Department of Surgery, Imizu Municipal Hospital
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- Okada Eikichi
- Department of Pathology, TCMA (Toyama City Medical Association) Health Care Center
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- Fujii Tsutomu
- Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
Bibliographic Information
- Other Title
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- 腹腔鏡下S状結腸切除術半年後に発症し緊急手術を要した静脈うっ滞による虚血性腸炎の1例
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Abstract
<p>A 75-year old woman with a history of hypertension, hyperlipidemia and surgery for uterine myoma underwent laparoscopic sigmoidectomy and D3 lymph node dissection for sigmoid colon cancer. Constipation, anal discomfort, and clear drainage from the anus began 5 months after the operation, and a month later she visited our hospital. At 6 months after laparoscopic sigmoidectomy, CT revealed a severely thickened rectum from the anastomosis to the anus and dilatation of the internal iliac vein; and colonoscopy revealed severe erosion from the anastomosis to the anal side. Conservative treatment for about one month did not improve her symptoms and findings, and she then developed extensive anal bleeding and hypovolemic shock. Severe edema and fibrosis of the rectum and surrounding tissue were found in an emergency operation, and abdominoperineal resection was performed. Macroscopic findings of the resected specimen showed a severely thickened rectum wall. Histological findings showed dilated and meandering veins with congestion from the rectal submucosa to perirectal tissue. We suspected that this ischemic colitis was caused by venous stasis due to two pelvic surgeries.</p>
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 54 (8), 548-555, 2021-08-01
The Japanese Society of Gastroenterological Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390852174972679552
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- NII Article ID
- 130008080881
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- ISSN
- 13489372
- 03869768
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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