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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.66 (2020) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/1317
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| タイトル: | A case of stricture-type ischemic colitis from excessive alcohol consumption, with follow-up to rule out colon cancer |
| 著者: | Watahiki, Yu
Saito, Keietsu
Ishizaki, Yuto
Yamanobe, Kuniyoshi
Sagawa, Keiichi
Abe, Kazumichi
Ohira, Hiromasa |
| 学内所属: | 消化器内科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 66 |
| 号: | 1 |
| 開始ページ: | 60 |
| 終了ページ: | 66 |
| 発行日: | 2020年 |
| 抄録: | A 69-year-old man was admitted to Hanawa Kousei Hospital with acute hepatitis attributed to alcohol consumption. His condition improved with conservative treatment. Computed tomography (CT) showed localized thickening of the colonic wall at the splenic flexure;carcinoembryonic antigen level was slightly elevated to 9.7 ng/mL. Colonoscopy (CS) showed an ulcerative lesion in the colonic splenic flexure. Ischemic colitis (IC) and type 4 colon cancer were suspected, but biopsy was not confirmatory. Malignancy could not be ruled out by contrast-enhanced CT;repeat CS showed circumferential stenosis of the colonic splenic flexure. Ischemic colitis was suspected based on changes between the first and second CS. Biopsy histopathology led us to diagnose stricture-type IC. Constipation, but not intestinal obstruction, occurred. Conservative treatment improved the stenosis. Excessive alcohol consumption may lead to IC;imaging studies may be useful to distinguish IC from colon cancer. Since most cases of ischemic colitis can be improved with conservative treatment, patients with stricture-type ischemic colitis may also be treated without surgery early on, with follow-up that includes careful, periodic imaging. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/1317 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/1317/1/FksmJMedSci_66_p60.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2019-27 |
| PubMed番号: | 32213733 |
| 関連ページ: | https://doi.org/10.5387/fms.2019-27 |
| 権利情報: | © 2020 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.66 (2020)
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