| A patient with rectal ulcer with severe stenosis presenting with perforated peritonitis. | |
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MedLine Citation:
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PMID: 10632543 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a patient with rectal ulcer with severe stenosis, who underwent urgent surgical treatment for perforated peritonitis. The 54-year-old man suddenly developed cramping abdominal pain and fever while hospitalized, with signs of peritoneal irritation. An emergency laparotomy was performed, and severe stenosis of the rectum and a perforated lesion on the oral side approximately 10 cm distant from the stenosis were found, with massive abdominal purulent fluid. He was treated by rectosigmoid colon resection with transverse colon loop colostomy. Histopathologically, the stenosis was caused by ulceration extending to all muscular layers of the rectum, with inflammatory changes. Benign rectal stenosis is so rare that differential diagnosis from malignancy may be difficult when there are inflammatory changes in the surrounding tissues. However, it is necessary to keep in mind the likelihood of this disease in differentiation from rectal cancer. |
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Authors:
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A Takeda; H Imaseki; S Okazumi; H Shimada; W Takayama; H Hayashi; T Suzuki; T Ochiai |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of gastroenterology Volume: 35 ISSN: 0944-1174 ISO Abbreviation: J. Gastroenterol. Publication Date: 2000 |
Date Detail:
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Created Date: 2000-01-27 Completed Date: 2000-01-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9430794 Medline TA: J Gastroenterol Country: JAPAN |
Other Details:
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Languages: eng Pagination: 56-9 Citation Subset: IM |
Affiliation:
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Second Department of Surgery, School of Medicine, Chiba University, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Constriction, Pathologic
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etiology Diagnosis, Differential Humans Male Middle Aged Peritonitis / etiology* Rectal Diseases / complications* Rectal Neoplasms / diagnosis Rectum / pathology Ulcer / complications* |
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