Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
胃がん検診における胃X線検査後にS状結腸穿孔を来した1例
草野 昌男駒沢 大輔伊藤 広通土佐 正規宇野 要池田 智之高橋 成一池谷 伸一中山 晴夫
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キーワード: S状結腸穿孔, 胃X線検査
ジャーナル フリー

2017 年 91 巻 1 号 p. 172-173

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A 56-year-old woman presented with abdominal pain after undergoing a barium study for gastric cancer screening 2 days prior. On day 3 after the examination, she visited an emergency room and a glycerin enema was performed as the abdominal radiography revealed stagnation of barium in the pelvic region. On day 7 after the examination, she was referred to our department because of lower abdominal pain and a sensation of retained feces. Abdominal radiography revealed a small amount of barium pooled in the pelvic region and splenic flexure without free air. Colonoscopy revealed a deep ulcer with barium stagnation. The barium was removed with forceps. After 1 month, the ulcer lesion was covered elevated mucosa with dilated and tortuous surface vessels. Histopathology revealed inflammatory granulation. Five months after the initial colonoscopy, the elevated lesion was improved slightly and was incidentally biopsied. Histopathological findings remained unchanged. Eleven months after the initial colonoscopy, the elevated lesion was replaced by an ulcer scar.

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© 2017 一般社団法人 日本消化器内視鏡学会 関東支部
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