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  1. 福島医学会
  2. Fukushima Journal of Medical Science
  3. Vol.66 (2020)

A case of stricture-type ischemic colitis from excessive alcohol consumption, with follow-up to rule out colon cancer

https://fmu.repo.nii.ac.jp/records/2001998
https://fmu.repo.nii.ac.jp/records/2001998
4e51fb2a-a522-4b40-908e-d473c654d279
名前 / ファイル ライセンス アクション
FksmJMedSci_66_p60.pdf FksmJMedSci_66_p60.pdf (1.8 MB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2020-06-16
タイトル
タイトル A case of stricture-type ischemic colitis from excessive alcohol consumption, with follow-up to rule out colon cancer
言語 en
作成者 Watahiki, Yu

× Watahiki, Yu

en Watahiki, Yu

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Saito, Keietsu

× Saito, Keietsu

en Saito, Keietsu

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Ishizaki, Yuto

× Ishizaki, Yuto

en Ishizaki, Yuto

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Yamanobe, Kuniyoshi

× Yamanobe, Kuniyoshi

en Yamanobe, Kuniyoshi

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Sagawa, Keiichi

× Sagawa, Keiichi

en Sagawa, Keiichi

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Abe, Kazumichi

× Abe, Kazumichi

en Abe, Kazumichi

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Ohira, Hiromasa

× Ohira, Hiromasa

en Ohira, Hiromasa

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権利情報
権利情報Resource https://creativecommons.org/licenses/by-nc-sa/4.0/
権利情報 © 2020 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
内容記述
内容記述タイプ Abstract
内容記述 A 69-year-old man was admitted to Hanawa Kousei Hospital with acute hepatitis attributed to alcohol consumption. His condition improved with conservative treatment. Computed tomography (CT) showed localized thickening of the colonic wall at the splenic flexure;carcinoembryonic antigen level was slightly elevated to 9.7 ng/mL. Colonoscopy (CS) showed an ulcerative lesion in the colonic splenic flexure. Ischemic colitis (IC) and type 4 colon cancer were suspected, but biopsy was not confirmatory. Malignancy could not be ruled out by contrast-enhanced CT;repeat CS showed circumferential stenosis of the colonic splenic flexure. Ischemic colitis was suspected based on changes between the first and second CS. Biopsy histopathology led us to diagnose stricture-type IC. Constipation, but not intestinal obstruction, occurred. Conservative treatment improved the stenosis. Excessive alcohol consumption may lead to IC;imaging studies may be useful to distinguish IC from colon cancer. Since most cases of ischemic colitis can be improved with conservative treatment, patients with stricture-type ischemic colitis may also be treated without surgery early on, with follow-up that includes careful, periodic imaging.
出版者
出版者 The Fukushima Society of Medical Science
言語
言語 eng
書誌情報 en : Fukushima Journal of Medical Science

巻 66, 号 1, p. 60-66, 発行日 2020
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.5387/fms.2019-27
関連情報
識別子タイプ PMID
関連識別子 32213733
関連情報
識別子タイプ ICHUSHI
関連識別子 2020385350
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0016-2590
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2185-4610
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA0065246X
主題
主題Scheme Other
主題 ischemic colitis
主題
主題Scheme Other
主題 stricture
主題
主題Scheme Other
主題 acute alcoholic hepatitis
主題
主題Scheme Other
主題 carcinoembryonic antigen
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