周術期に感染性心内膜炎を合併した直腸癌の1症例

概要

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We herein report a case of a valve replacement for infective endocarditis following rectal cancer surgery. A male patient in his sixties visited to the department of medicine with a chief complaint of prolonged diarrhea in March 2007. He was admitted to our department for surgical treatment, after being diagnosed with rectal cancer. He underwent a very-low anterior resection with ileostomy. On the 9th post-operative day, an emergency operation was performed due to anastomotic failure. On the 34th post-operative day, a chest computed tomography revealed multiple emboli in the bilateral pulmonary artery, and the patient was then treated with antibiotics. In addition, an echocardiography revealed a large vegetation formation on the tricuspid valve. Because the vegetation was gradually increasing, a tricuspid valve replacement was performed. Pathological findings showed bacterial agglomerate even though no etiologic bacteria were identified.
東京女子医科大学の論文