A CASE OF GASTROCOLIC FISTULA DUE TO CANCER OF THE TRANSVERSE COLON DISCOVERED WITH AN ABSCESS OF THE ABDOMINAL WALL
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- SAGAWA Teiri
- Department of Surgery, Ehime Prefectural Imabari Hospital
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- KUBOZONO Takashi
- Department of Surgery, Ehime Prefectural Imabari Hospital
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- HIROSE Masahiro
- Department of Surgery, Ehime Prefectural Imabari Hospital
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- YANO Tatsuya
- Department of Surgery, Ehime Prefectural Imabari Hospital
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- BANDO Yasuo
- Department of Surgery, Ehime Prefectural Imabari Hospital
Bibliographic Information
- Other Title
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- 腹壁膿瘍にて発見された胃結腸瘻を伴う横行結腸癌の1例
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Abstract
A 56-year-old woman admitted to the hospital because of an enlarging left hypochondral painful mass and fever. There was high grade anemia and inflammatory reaction in her laboratory data. Absces formation in the abdominal wall was revealed by ultrasonography and CT scan. E. coli was detected by the culture from the abscess and X-ray with Urograffin showed the fistula between the abscess cavity and transverse colon accompanied with stomach. The patient was diagnosed as malignant gastrocolic fistula due to cancer of the transverse colon. Curative operation (transverse colectomy, gastrectomy and partial resection of the abdominal wall) was performed. Histopathologically it was well-differentiated adenocarcinoma without lympn node metastasis. The patient was discharged from the hospital 27 days after the operation with an uneventful clinical course. Only 27 cases of gastrocolic fistula due to colonic cancer have been reported in Japan, and colonic cancer with abdominal abscess and gastrocolic fistula is especially rare. Aggressive resection of the invaded organ appears to promise a favorable prognosis for malignant gastrocolic fistura.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 56 (2), 384-389, 1995
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001205314843904
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- NII Article ID
- 10008511823
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed