3. A Case of Diverticulitis Coli with Stenosis of Sigmoid Colon

概要

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In recent two years 43 cases of diverticular disease have been found at our cinic, of 740 cases examined with barium enema. 3 cases of 43 cases were operated, one was at the right side and other two were at sigmoid colon.<BR>A case of diverticulitis coli with stenosis of sigmoid colon is reported in this paper. The patient was a 57-year-old man with a complaint of disturbance of defecation. He was already diagnosed of diverticulosis coli 2 year before, and had been used to be well with drug treatment. He noticed again the same symptom at this time, and consulted our clinic. On the films of barium enema, severe stenosis of the sigmoid colon was found, and after this examination he had suffered from high fever for a week. On the endoscopical examination, neither tumor nor ulceration revealed, and the mucosa relatively smooth, but the lumen of the colon was severely narrowed. So that diagnosis of signosis of sigmoid cancer was negated from the endoscopic findings. Radiographically, diverticula were seen on the whole tract of the colon, especially at the ceacal and sigmoid portion.<BR>From the clinical course and symptom, surgical treatment was indicated, so subtotal colectomy was performed. A tumor of the size of the fist formed at sigma of the resected specimen, of which surface of the section, increased muscular layer and the development of fatty tissue with microabscess formation were prominent.