放射線照射治療中に回腸穿孔をきたした再発直腸癌の1例
1989 年 42 巻 1 号 p. 128-132
詳細
1989 年 42 巻 1 号 p. 128-132
A 42-year-old man was evaluated for perineal pain. Computed tomography of the pelvis revealed recurrence of rectal cancer, which was impossible to treat sugically. Though irradiation therapy was started, As it had to be discantinued beccuse of the appearance of inflammation in the perineal region and lower abdominal pain after 800 rad. Small intestinal gastrography revealed a perforation of the ileum, and intestinal resection was performed. Pathological studies showed cancer invasion, bleeding and edema due to acute radiation damage. The radiosensitive nature of the small intestine in this case led to a fatal outcome. Effective therapeutic and examination methods have not yes been established for cases such as this ore. It is concluded that lowdose radiation may induce severe intestial complications.
