高齢者にみられた特発性下部直腸穿孔の１例

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  • A Case of Idiopathic Perforation of the Lower Rectum in an Elderly.

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This paper deals with a case of perforation of the lower rectum (Rb), which is a rare entity, in an elderly. An 81-year-old woman was admitted to the hospital because of abdominal pain. Abdominal CT scan revealed effusion surrounding the rectum and air fluid level. Emergency barium enema visualized parenteral outpouring of a contrast material from the lower rectum. With a diagnosis of rectal perforation, an emergency laparotomy was performed on the same day and perforation of the lower rectum and its surrounding abscess formation were confirmed. No apparent tumorous nor ulcerative lesions were observed at the perforation. A Hartmann operation was performed. The postoperative course was uneventful. Histopathological study also revealed no characteristic findings. Idiopathic rectal perforation was diagnosed.

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