血中ＣＥＡ，ＣＡ１９‐９が高値を示し，巨大結腸症を伴った上行結腸多発性単純性潰ようの１例

• 金 容輝

  総合加納病院外科

• 寺島 毅

  総合加納病院外科

• 八幡 暁直

  総合加納病院外科

• 加納 繁照

  総合加納病院外科

書誌事項

タイトル別名

• A CASE OF MULTIPLE SIMPLE ULCERS AT THE ASCENDING COLON ASSOCIATED WITH MEGACOLON AND ELEVATED SERUM CEA AND CA19-9

抄録

A 60-year-old man admitted for anorexia, general fatigue, and sore throat underwent abdominal computed tomography (CT) for abdominal distention from the transverse colon to the sigmoid colon and wall thickening at the ascending colon. Colonoscopy showed deep, punched-out ulcers in the ascending colon. Serum CEA and CA19-9 were high, indicating malignancy. Megacolon was associated, so right hemicolectomy was done based on a lack of perforation and localized inflammation of the right colon. Histopathological studies confirmed the diagnosis of simple ulcer or Behçet's disease. After operation, megacolon was improved and serum CEA and CA19-9 became normal. We diagnosed simple ulcer because Behçet's criteria were not made met. The postoperative course was uneventful. No recurrence was detected postoperatively.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 64 (7), 1678-1683, 2003

  日本臨床外科学会

キーワード

• 結腸単純性潰瘍
• 腫瘍マーカー(CEA, CA19-9)
• 巨大結腸症

詳細情報

• CRID: 1390282679821023104
• NII論文ID: 10011469780
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.64.1678
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/64/7/64_7_1678/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004013310
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可