A Case of Perforative Peritonitis due to Radiation Enteritis 33 Years after Radiotherapy.
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- TAKAYA Yoshihiro
- Department of Surgery, Kamigotou Hospital
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- YASAKA Takahiro
- Department of Surgery, Kamigotou Hospital
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- FUJIWARA Shinsuke
- Department of Surgery, Kamigotou Hospital
Bibliographic Information
- Other Title
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- 放射線治療33年後に穿孔性腹膜炎をきたした放射線性腸炎の1例
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Abstract
We report a case of perforative peritonitis due to radiation enteritis. An 88-year-old woman who had undergone pelvic irradiation for a gynecological malignancy was referred to our hospital due to hematomesis and epigastralgia with fever. We determined that she had perforative peritonitis, based on intraabdominal extrabowel gases in abdominal computed tomography. We conducted emergency operation to resect the damaged bowel, such as necrotic intestine combound with a damaged bladder in “frozen pelvis” and reconstruct jejuno-ascending colostomy. Pathological findings for resected specimens were compatible with radiation enteritis, such as excessive collagen deposition within the bowel wall, vasculitis, and intramural edema. The woman had a jejuno-subcutaneous fistula and suffered recurrent urinary infection or jaundice due to chronic hepatitis C after the surgical procedure. But eight months later, recovery enabled a successful second laparotomy to reconstruct the residual intestine. Even long after irradiation for malignant disease, radioactive damage to the body as a whole should always be considered.
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) 62 (11), 2701-2705, 2001
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204843848192
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- NII Article ID
- 130003602284
- 10008391438
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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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