消化器内視鏡の進歩:Progress of Digestive Endoscopy
Online ISSN : 2189-0021
Print ISSN : 0389-9403
症例
経過観察が可能であった急性出血性直腸潰瘍の1例
堀 高史朗植田 健治中村 穣金田 繁樹日高 道生小林 智子清水 慎介額賀 春彦土屋 和彦大野 博之須藤 一郎堀向 文憲宮岡 正明斎藤 利彦
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ジャーナル フリー

1998 年 52 巻 p. 160-161

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The case reported here was a 69-year-old man who was admitted by our department on February 1997 because of liver cell carcinoma. He was complicated with chronic subdural hematoma and became bedridden.
Colonoscopy was performed on disease day 22 because of sudden onset of indolent bloody stool. Geographic ulcer with an exposed blood vessel was detected in the lower portion of rectum. Because bleeding gradually increased in amount, despite our attempt at clipping, ethanol and HSE were locally injected on disease day 27. The same hemostatic treatment was performed on disease day 36 because of recurrence of bloody stool. Since then, no bloody stool had occurred, and the ulcer was colonoscopically confirmed to be cicatrized on disease day 72. Because it is rare to endoscopically observe a clinical course of ulcer until cicatrization, we herein report our case.

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© 1998 一般社団法人 日本消化器内視鏡学会 関東支部
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