穿通性多発回腸憩室炎の1例

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  • A Case of Penetrating Multiple Ileal Diverticulitis.

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We have experienced a rare case of penetrating multiple ileal diverticulitis.<br> A 63-year-old woman was admitted to the hospital because of intensifing right low abdominal pain. Laboratory tests showed elevated leukocyte (16, 590/μl) and C-reactive protein (10.2mg/dl). A computed tomography of the abdomen revealed inflammatory changes, including abdominal abscess, in the ileocecal region and mesenterium. Right hemicolectomy on emergency was performed with a suspicion of ileocecal diverticulitis and abdominal abscess. Histopathologic examination of the resected material revealed multiple pseudodiverticula of the ileum and colon, including two penetrating ileal diverticulitis on the mesenteric side of the intestine. In emergency surgery cases like our case, careful follow-up for recurrence is mandatory, because remnant diverticula in the intestine are probable.

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