腹壁に穿通した大腸アメーバ症の1例

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  • AMEBIC COLITIS ASSOCIATED WITH PENETRATION OF THE ABDOMINAL WALL-A CASE REPORT-

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We describe a case of amebic colitis associated with penetration of the abdominal wall. A 61-year-old man was admitted to our hospital with abdominal pain and diarrhea. He had never gone abroad. He was diagnosed as having a pericecal abscess, and an emergency operation was performed. During the surgery, colitis was found throught the colon and was associated with ulcers. Furthermore, the cecum was swollen like a tumor, and the sigmoid colon was penetrated to the abdominal wall. Three-quarters of the colon was resected. Postoperative complications included anastomotic leakage and DIC, however he finally attained remission.<br> In Japan, amoebiasis is an infrequent infectious disease although, its prevalence had been high before and during the war. No more than 10 patients developed this disease in 1978. However, amoebiasis has been increasing recently, especially, in patients who have returned from abroad and have practiced homosexual behavior. The mortality rate of patients who underwent operation because of bowel perforation, is very high. In this cases, prompt diagnosis and treatment is important. Physicians consider this disease during in daily medical examinations and treatments.

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