Typical Crohn's Disease of the Colon: Report of Case

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A 29-year-old female who had suffered from anal pain and diarrhea for 11 years was admitted to our clinic with complaints of anal fistula, anemia and emaciation on February, 1974. Barium enema showed cobblestone appearance of left colon and colonofiberscopy demonstrated granulomatous colitis. Sphincter saving operation through staged-procedure was planned. 1st Operation : Left hemicolectomy, single-barrelled transverse colostomy with exclusion of rectal stumpf and incision of anorectal fistula were performed through median incision on 4 April, 1974. Multiple ulcers, cobblestone appearance and skip lesion were recognized throughout the resected descending colon and sigmoid colon. Microscopic examination revealed characteristic granuloma, fissuring, giant cells and etc. Although postoperative course was good after the first operation, rectal lesion was not improved and anal fistula still remained. 2nd Operation : Removal stumpf including anal lesion was perormed on February, 1975 (10 months later). Postoperative course was uneventful showing no evidence of recurrence for more than 3 years after 1st operation.
日本大腸肛門病学会の論文