腹腔鏡下幽門側胃切除術後に発症した偽膜性腸炎の１例

概要

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The case of a 78-year-old woman who developed pseudomembranous enterocolitis after laparoscopic assisted distalgastrectomy is described. When endoscopy was performed for her initial complaint of heartburn, early gastric cancerwas found at the body of the lesser curvature of the stomach. She underwent a laparoscopic assisted distal gastrectomy.On 7 days after surgery, she developed excessive diarrhea, and colonoscopy revealed pseudomembranous enterocolitisfrom the rectum to the sigmoid colon. After oral vancomycin (VCM, 2.0 g/day) was administered, her condition improveddramatically. Pseudomembranous enterocolitis should be considered in the differential diagnosis of severe diarrhea withhigh fever following laparoscopic surgery. When pseudomembranous enterocolitis is suspected after the administration ofantibiotics, early diagnosis by colonoscopy and treatment should be required.