상부직장암과 동반된 폐쇄성 대장염
Obstructive Colitis Associated with Upper Rectal Cancer
이정원, 남궁환, 박동국,
소속 상세정보
이정원 ( Lee Jung-Won )
단국대학교 의과대학 외과학교실
남궁환 ( Namgung Hwan )
단국대학교 의과대학 외과학교실
박동국 ( Park Dong-Guk )
단국대학교 의과대학 외과학교실
KMID : 0356720060220050341
Abstract
Obstructive colitis refers to ulceroinflammatory lesions that occur in the colon proximal to an obstructing lesion. The pathogenesis is unclear, but raised intraluminal pressure, distension, and bacterial stasis are thought to play a role in the development of ischemia. The normal appearance at surgery may lead to involved segments of colon being used for anastomoses with consequent complications, so an awareness of the clinical, radiological, and endoscopic features of obstructive colitis is mandatory to prevent anastomotic complications. We experienced a case of obstructive colitis associated with a partially obstructing upper rectal cancer in a 67-year-old male. Obstructive colitis was diagnosed by using colonoscopy preoperatively, and an extended resection involving both the tumor and the colitis segment was performed without complications. J Korean Soc Coloproctol 2006;22:341-345
키워드
폐쇄성 대장염;직장암
Obstructive colitis;Rectal cancer
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