Korean J Gastrointest Endosc > Volume 28(6); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(6): 321-325.
직장암 상부에 발생한 광범위한 괴사성 허혈성 장염 1예
김영선·정성애·김성은·심기남·유 권·문일환
이화여자대학교 의과대학 내과학교실
A Case of Extensive Gangrenous Ischemic Colitis Proximal to Rectal Cancer
Young Sun Kim, M.D., Sung-Ae Jung, M.D., Seong-Eun Kim, M.D., Ki-Nam Shim, M.D.,Kwon Yoo, M.D. and Il-Hwan Moon, M.D.
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
The ischemic colitis occurring proximal to obstructive colon cancer is a rare case, which has the prevalence ranging 1% to 7% of the colon cancer. The pathogenesis is unclear but it is thought that raised intraluminal pressure, distension and bacterial stasis in the partially obstructive bowel play a role in developement of ischemia. The ischemic damage of colon is usually localized and reversible. However we experienced a case of extensive gangrenous ischemic colitis associated with rectal cancer in 48- year-old man, and he developed acute abdominal symptom and needed prompt surgical operation. So we reports this case with a review of literature. (Korean J Gastrointest Endosc 2004;28:321⁣325)
Key Words: Rectal cancer, Ischemic colitis
주요어: 직장암, 허혈성 장염
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