A Case of Necrotizing Ischemic Colitis Suspected Being Induced by Schistosomal Ova Embolism

• Shimada Masanari

  Department of Surgery, Toyama Red Cross Hospital

• Shibahara Kazushige

  Department of Surgery, Toyama Red Cross Hospital

• Kitamura Hirotaka

  Department of Surgery, Toyama Red Cross Hospital

• Moriyama Hideki

  Department of Surgery, Toyama Red Cross Hospital

• Hada Masahiro

  Department of Surgery, Toyama Red Cross Hospital

• Takehara Akira

  Department of Surgery, Toyama Red Cross Hospital

• Sasaki Kazutoshi

  Department of Surgery, Toyama Red Cross Hospital

• Konishi Koji

  Department of Surgery, Toyama Red Cross Hospital

• Maeda Yoshinobu

  Department of Pathology, Toyama Red Cross Hospital

Bibliographic Information

Other Title

• 日本住血吸虫卵塞栓が示唆された回盲部壊死型虚血性腸炎の１例

Abstract

A 66-year-old man referred for lower right abdominal pain, and markedly elevated white blood cell count and CRP in blood tests was found in abdominal computed tomography (CT) to have an ascending colon lesion and ileocecal dilation 10 cm in diameter containing pneumatosis, and mesocolon swelling, necessitating semi emergency surgery based on a diagnosis of perforation of ascending colon carcinoma. Laparotomy disclosed a cecum dilated and greenly necrotic. A soft half-circular mass 60 mm in diameter was found at the anal side of Bauhin's valve. Right hemicolectomy was done based on a diagnosis of pericecal abscess and necrosis secondary to perforation by ascending colon cancer. Histological findings showed tubulovillous adenoma carcinoma of the ascending colon and ischemic colitis. Many calcified schistosomiasis japonica ova were seen in the veins in the submucosal cecal layer. These findings and the fact that the man had fished in a local Toyama river when young led to the pathogenesis of this case being identified as ischemic colitis caused by venostasis.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 43 (5), 572-577, 2010

  The Japanese Society of Gastroenterological Surgery

Keywords

• <i>schistosoma japonicum</i>
• necrosis
• ischemic colitis

Details

• CRID: 1390282679896384128
• NII Article ID: 130004560619
• NII Article ID: 110007619519
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.43.572
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs/43/5/43_43.572/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2010178112
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed