大腸全摘術後に広範な十二指腸・小腸病変を認め出血を繰り返した潰瘍性大腸炎の1例 A case of diffuse duodenitis and enteritis following total colectomy for ulcerative colitis

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症例は25歳女性,全大腸炎型潰瘍性大腸炎に対し大腸全摘術施行.術後早期より腹痛·高熱,CTにて十二指腸·小腸の壁肥厚を認め,内視鏡検査で十二指腸·小腸·回腸嚢に原疾患に類似した広範な病変を認めた.その後5回の大量下血をきたし,経皮的血管塞栓術にて止血した.十二指腸·小腸病変は,抗菌剤やプレドニゾロンに抵抗性で,デキサメタゾンにて軽快した.潰瘍性大腸炎に十二指腸·小腸病変を合併した1例を報告する.<br>

A 25-year-old-woman with four years history of pancolonic ulcerative colitis (UC) underwent laparoscopy-assisted restorative proctocolectomy. She developed postoperatively abdominal pain, high fever, bloody diarrhea. Computed tomography showed thickening of duodenal and small intestinal wall, and endoscopic examination revealed diffuse mucosal edema, redness, erosion and ulceration involving duodenum, small intestine and ileal pouch that was similar in appearance to UC. She experienced massive melena five times and was successfully treated by transcatheter arterial embolization. Some antibiotics and predonisolone failed to decrease activity of the lesion but the symptoms and endoscopic findings improved since intravenous dexamethasone injection. <br>

収録刊行物

  • 日本消化器病學會雜誌 = The Japanese journal of gastro-enterology

    日本消化器病學會雜誌 = The Japanese journal of gastro-enterology 105(3), 382-390, 2008-03-05

    一般財団法人 日本消化器病学会

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各種コード

  • NII論文ID(NAID)
    10021270736
  • NII書誌ID(NCID)
    AN00192124
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    04466586
  • データ提供元
    CJP書誌  J-STAGE 
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