偽膜性腸炎を契機に中毒性巨大結腸症, 腸穿孔をきたした1例

概要

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Toxic megacolon complicated pseudomembranous colitis is a rare occurrence. We reported a case of toxic megacolon and colonic perforation caused by pseudomembranous colitis. A 60-year-old woman, diagnosed as having a rectovaginal fistula, was admitted to our hospital. The patient underwent diverting colostomy. On the 22nd postoperative day, the patient had tachycardia, tachypnea and hypotension. An abdominal X-ray revealed a noticeably dilated colon and free air. At laparotomy, a perforation 1.0 cm in diameter was found in the descending colon. A subtotal colectomy was performed with colostomy. Histology of the resected specimen revealed changes in pseudomembranous colitis.
社団法人日本産科婦人科学会の論文
2000-10-01