Prostaglandin E1‐effective, transient‐type ischemic colitis developed after surgical resection of sigmoid colon cancer. A case report

Prostaglandin E1‐effective, transient‐type ischemic colitis developed after surgical resection of sigmoid colon cancer. A case report
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乙状结肠癌手术切除后发生前列腺素 E1 有效的短暂型缺血性结肠炎一例报告。

DOI:
10.1046/j.1443-1661.2003.00254.x
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发表时间:
2003
影响因子:
5.3
通讯作者:
Y. Saida
Y. Saida
中科院分区:
医学2区
文献类型:
--
作者:
Y. Ishihara;M. Seike;I. Yokouchi;Hiroaki Suda;Shunichiro Ishitsuka;T. Kakemura;Mitsuhiro Yoshida;K. Yoshimoto;Y. Sakai;Chidori Okumura;Y. Saida

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一名 55 岁男性因结肠癌侵犯粘膜下层而接受腹腔镜乙状结肠切除术。手术后,他出现肠梗阻并接受了剖腹手术。六个月后,他抱怨排便频繁。结肠镜检查证实有一个圆形溃疡,从乙状结肠吻合口的肛门侧延伸到直肠中部。超声内镜显示患病结肠和直肠各层均增厚。我们诊断为缺血性结肠炎。静脉滴注前列腺素后,症状和结肠狭窄逐渐好转。尽管腹部血管造影显示肠系膜下动脉周围乙状结肠支变窄,但血流不受限制。出院后 84 天进行的结肠镜检查显示溃疡疤痕。
A 55‐year‐old‐man had a laparoscopic resection of the sigmoid colon due to colon cancer with submucosal invasion. After the surgery he suffered ileus and had a laparotomy. Six months later he complained of frequent defecation. Colonoscopy confirmed a circular ulcer extending from the anal side of the anastomosis in the sigmoid colon to the mid rectum. Endoscopic ultrasound demonstrated thickening of all layers of the diseased colon and rectum. We diagnosed ischemic colitis. After intravenous drip infusion of prostaglandin, symptoms and colonic stricture gradually improved. Although abdominal angiography revealed a narrowing of the peripheral sigmoid branch of the inferior mesenteric artery, blood flow was unrestricted. Colonoscopy performed 84 days after discharge revealed an ulcer scar.
DOI: --
发表时间: 2022
期刊:
影响因子: --
作者:
夏井慧;繁野麻衣子
通讯作者: 繁野麻衣子