A CASE OF SIMPLE STERCORAL ULCER OF THE TRANSVERSE COLON
A 35-year-old man, who had no paticular history except occasional symptoms of troublesome defecation, was sdmitted to the hospital because of sudden onsets of bloody stool. The appetite was fair and bowel movements were good. No tumor was palpable by a digital examination. Colonoscopy revealed a tra...
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| Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 62; no. 9; pp. 2234 - 2236 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Surgical Association
2001
|
| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 1882-5133 |
| DOI | 10.3919/jjsa.62.2234 |
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| Abstract | A 35-year-old man, who had no paticular history except occasional symptoms of troublesome defecation, was sdmitted to the hospital because of sudden onsets of bloody stool. The appetite was fair and bowel movements were good. No tumor was palpable by a digital examination. Colonoscopy revealed a transeverse colon ulcer with bleeding from a visible vessel, and endoscopic clipping was successful. A biopsy specimen showed hemmorrage into the interstitial tissue, and infiltration of inflam-matry cells and granulation tissue were histologically noted. No specific findings suggestive of inflamma-tory bowel disease, nor infectious colitis were demonstrated. Probable causes in this case are thought to be an impact on the faecal materials, troublesome defecation and a mechanical pressure effect on the mucosa. Simple stercoral ulcer of the transverse colon was definitely diagnosed. |
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| AbstractList | A 35-year-old man, who had no paticular history except occasional symptoms of troublesome defecation, was sdmitted to the hospital because of sudden onsets of bloody stool. The appetite was fair and bowel movements were good. No tumor was palpable by a digital examination. Colonoscopy revealed a transeverse colon ulcer with bleeding from a visible vessel, and endoscopic clipping was successful. A biopsy specimen showed hemmorrage into the interstitial tissue, and infiltration of inflam-matry cells and granulation tissue were histologically noted. No specific findings suggestive of inflamma-tory bowel disease, nor infectious colitis were demonstrated. Probable causes in this case are thought to be an impact on the faecal materials, troublesome defecation and a mechanical pressure effect on the mucosa. Simple stercoral ulcer of the transverse colon was definitely diagnosed. |
| Author | KAJIWARA, Tetsuro UTADA, Yoshihito WATANABE, Toshiaki HAGA, Shunsuke OGAWA, Kenji |
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| References | 3) 荒川正一,上野文昭,岩村健一他: Sterocoral ulcer (宿便性潰瘍) の臨床病理学的検討-自験例の内視鏡および病理組織学的所見に基ついて-. Gastroenterol Endosc 30: 3106-3114, 1988 4) 山崎震一,山崎健二,久保田芳郎:宿便性潰瘍の4例.日臨外会誌 61: 3291-3294, 2000 5) Earnest DL, Hixon LJ: Other disease of colon and rectum. Gastrointestinal disease 2. 5th ed. WB Saunders. Philadelphia, 1995, p1552-1554 2) 中村志郎,大川清孝,原 順一他:急性出血性直腸潰瘍の成因に関する研究,側臥位と仰臥位における直腸粘膜血流の検討. Gastroenterol Endosc 38: 1481-1487, 1996 10) 館花明彦,福田直人,永山淳造他:非特異性直腸潰瘍の1例-いわゆる“分類困難な直腸潰瘍”-.日臨外会誌 61: 3295-3298, 2000 7) 藤巻英二,菅原光宏,井上義博他:急性出血性直腸潰瘍31例の検討-内視鏡所見と臨床的特徴との関連を中心に-. Gastroenterol Endosc 35: 2421-2425, 1993 6) 藤井億秀,王 恒治,岡田光男他:宿便性潰瘍の1例. Gastroenterol Endosc 39: 818-824, 1997 1) 河野裕利,勝見正治,浦 伸三他:脳疾患患者みられた急性出血性直腸潰瘍の2例.日本大腸肛門病会誌 33: 222-227, 1980 8) 池田典次:非特異性腸潰瘍-特に回盲部単純性潰瘍を中心に.日本消化器病学会クローン病検討委員会編集,クローン病,医学図書出版,東京, 1987, p95-104 9) 飯田三雄:非特異性腸潰瘍の診療の進歩.最新医 52: 1470-1480, 1997 |
| References_xml | – reference: 5) Earnest DL, Hixon LJ: Other disease of colon and rectum. Gastrointestinal disease 2. 5th ed. WB Saunders. Philadelphia, 1995, p1552-1554 – reference: 1) 河野裕利,勝見正治,浦 伸三他:脳疾患患者みられた急性出血性直腸潰瘍の2例.日本大腸肛門病会誌 33: 222-227, 1980 – reference: 2) 中村志郎,大川清孝,原 順一他:急性出血性直腸潰瘍の成因に関する研究,側臥位と仰臥位における直腸粘膜血流の検討. Gastroenterol Endosc 38: 1481-1487, 1996 – reference: 7) 藤巻英二,菅原光宏,井上義博他:急性出血性直腸潰瘍31例の検討-内視鏡所見と臨床的特徴との関連を中心に-. Gastroenterol Endosc 35: 2421-2425, 1993 – reference: 4) 山崎震一,山崎健二,久保田芳郎:宿便性潰瘍の4例.日臨外会誌 61: 3291-3294, 2000 – reference: 8) 池田典次:非特異性腸潰瘍-特に回盲部単純性潰瘍を中心に.日本消化器病学会クローン病検討委員会編集,クローン病,医学図書出版,東京, 1987, p95-104 – reference: 3) 荒川正一,上野文昭,岩村健一他: Sterocoral ulcer (宿便性潰瘍) の臨床病理学的検討-自験例の内視鏡および病理組織学的所見に基ついて-. Gastroenterol Endosc 30: 3106-3114, 1988 – reference: 9) 飯田三雄:非特異性腸潰瘍の診療の進歩.最新医 52: 1470-1480, 1997 – reference: 6) 藤井億秀,王 恒治,岡田光男他:宿便性潰瘍の1例. Gastroenterol Endosc 39: 818-824, 1997 – reference: 10) 館花明彦,福田直人,永山淳造他:非特異性直腸潰瘍の1例-いわゆる“分類困難な直腸潰瘍”-.日臨外会誌 61: 3295-3298, 2000 |
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| Title | A CASE OF SIMPLE STERCORAL ULCER OF THE TRANSVERSE COLON |
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