Ulcerative Colitis complicated by a Leaked Colojejunal Fistula: Report of a Case
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概要
- 論文の詳細を見る
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.
- Yamaguchi University Graduate School of Medicineの論文
著者
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Okita Kiwamu
下関厚生病院(社保)
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Okita Kiwamu
京都府立医科大学 消化器内科学
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Ohkawa Kazuyoshi
大阪大学
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Ogata Kei
The Second Department Of Medicine Division Of Kidney Disease And Critical Care Medicine Kurume Unive
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Okita Kiwamu
Department Of Gastroenterology And Hepatology Yamaguchi University Graduate School Of Medicine
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Okita K
Yamaguchi Univ. Yamaguchi Jpn
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Omori Kaoru
Department Of Molecular Science & Applied Medicine (gastroenterology & Hepatology) Yamaguchi
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Okita Kiwamu
First Department Of Internal Medical Yamaguchi University School Of Medicine
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AKAZAWA Akiko
Department of Gastroenterology and Hepatology, Yamaguchi University, School of Medicine
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Higaki Shingo
Department Of Gastroenterology And Hepatology Yamaguchi University School Of Medicine
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Akazawa Akiko
Department Of Gastroenterology And Hepatology Yamaguchi University School Of Medicine
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