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フルテキストURLA020046000311.pdf ( 2.7MB ) 公開日 2010-04-19
タイトルUlcerative Colitis complicated by a Leaked Colojejunal Fistula: Report of a Case
作成者Matsuoka, Koji
Hazama, Shoichi
Kawano, Hiroo
Akazawa, Akiko
Higaki, Shingo
Okita, Kiwamu
Tangoku, Akira
Oka, Masaaki
作成者ヨミマツオカ, コウジ
ハザマ, ショウイチ
カワノ, ヒロオ
アカザワ, アキコ
ヒガシ, シンゴ
オキタ, キワム
タンゴク, アキラ
オカ, マサアキ
作成者所属山口大学医学部
内容記述(抄録等)We report here a case of ulcerative colitis (UC) with a leaked colojejunal fistula. The patient was a 25-year-old woman with a history of UC for 14 years and with a colojejunal fistula between the decending colon and the jejunum. She was admitted to our department for a sudden attack of severe abdominal pain. On physical examination, the abdomen was distended and generally tender with signs of peritoneal irritation. Abdominal computed tomography (CT) revealed ascites standing in the abdominal cavity and fluid collection around the descending colon. Accordingly, she was diagnosed as having a panperitonitis. An emergency laparotomy revealed advanced UC with the leaked colojejunal fistula. She underwent a subtotal colectomy with ileostomy and rectostomy and a partial resection of the jejunum including the fistula. The presence of an entero-enteric fistula, of which a colojejunal fistula is one type, is characteristic in Crohn's disease but is the rarest complication in UC, and only 11 cases including our case have been reported in the world. This seems to be the fistula in UC.
本文言語eng
著者キーワードulcerative colitis
entero-enteric fistula
panperitonitis
leakage
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
46
3-4
開始ページ121
終了ページ125
発行日1999-12
著者版/出版社版出版社版
リポジトリIDA020046000311
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020046000311