A CASE OF CROHN DISEASE WITH AN INTRACTABLE EXTERNAL INTESTINAL FISTULA AFTER APPENDECTOMY
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- YAMAZAKI Yukiko
- Department of Surgery, Nagoya Red Cross Hospital
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- MIYATA Kanji
- Department of Surgery, Nagoya Red Cross Hospital
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- KOBAYASHI Yoichiro
- Department of Surgery, Nagoya Red Cross Hospital
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- TAKEUCHI Eiji
- Department of Surgery, Nagoya Red Cross Hospital
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- KATO Makoto
- Department of Surgery, Nagoya Red Cross Hospital
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- HATTORI Tatsuo
- Department of Surgery, Nagoya Red Cross Hospital
Bibliographic Information
- Other Title
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- 虫垂切除術後難治性回腸皮膚瘻を呈したCrohn病の1例
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Abstract
A 22-year-old woman who underwent an appendectomy with a diagnosis of acute appendicitis developed an intestinal fistula on the 8th postoperative day. Conservative therapy was unsuccessful and a laparotomy was performed on 101st day after the appendectomy. Based on intraoperative findings, the patient was diagnosed as having Crohn disease and underwent an ileotomy. The excised material revealed longitudinal ulcer and cobble stone appearance. Histopathological study also disclosed a granulomatous lesion extending to the full thickness, the definite diagnosis of Crohn disease being made. Repeated histologic study of the resected appendix revealed glanuloma without caseous necrosis, and it was thought that Crohn disease also existed in the appendix.<br> External intestinal fistula is a rare complication after appendectomy. If such fistula is intractable like in this case, allowances must be made for possible association of Crohn disease in the treatment.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 60 (4), 1029-1032, 1999
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204847257216
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- NII Article ID
- 130003601341
- 10009881782
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed
