巨大結腸症による腸管穿孔を合併した潰瘍性大腸炎の1例

概要

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This report presents a 31-year-old man with perforated megacolon who was successfully treated with conservative therapy. He was admitted to Yamaguchi University Hospital in July 6 1998, with active ulcerative colitis which did not respond to prednisolone (PSL) 40mg/day, 5-amino-salicylic acid (5-ASA)1500mg/day. On admission, the chest radiograph revealed the free air and the abdominal radiograph revealed a dilatation of the transverse colon (6cm in diameter), indicating the presence of perforated megacolon without systemic toxicity. The patient made favorable clinical course without colectomy. Thereafter he had remained in remission for 3 years. Early recognition of megacolon may improve the prognosis of ulcerative colitis.
山口大学医学会の論文
2001-10-31