2022 Volume 6 Issue 1 Pages 50-54
A 77-year-old man who underwent liver anterior resection for hepatocellular carcinoma. At postoperative day (POD) 15, he had blood stool. Urgent colonoscopy examination showed oozing from a cecal ulcer with border irregularity. Clinical findings and the results of stool culture could not identify the cause of cecal ulcer. The pathological findings from ulcer biopsy revealed that not only local abscess but also small number of epithelial apoptosis were observed in the crypts. He was diagnosed with an NSAIDs-induced cecal ulcer due to usage of postoperative pain killer medicine. The oozing from a cecal ulcer was naturally stopped. A postoperative usage of NSAIDs for elderly patients after surgery should be avoided as far as possible to prevent NSAIDs-induced colitis.
