Korean Journal of Gastrointestinal Endoscopy 2008;36(3): 177-180.
대장암에 의한 장 폐쇄 근위부에 발생한 폐쇄성 장염
오유경ㆍ김진일ㆍ정대영ㆍ박수헌ㆍ김재광ㆍ이인규*ㆍ정승은†ㆍ박경신‡
가톨릭대학교 의과대학 내과학교실, *외과학교실, †영상의학교실, ‡병원병리학교실
Obstructive Colitis Proximal to Obstructive Lesion of the Colon Cancer
You Kyoung Oh, M.D., Jin Il Kim, M.D., Dae Young Cheung, M.D., Soo-Heon Park, M.D., Jae Kwang Kim, M.D., In Kyu Lee, M.D.*, Seung Eun Jung, M.D.† and Kyung Shin Park, M.D.‡
Departments of Internal Medicine, *Surgery, †Radiology and ‡Pathology, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
Obstructive colitis is a rare inflammatory condition that occurs in a dilated segment of the colon proximal to an obstructing lesion. A 69-year-old patient presented with abdominal pain and distension. The colonoscopy findings revealed a near total obstruction from sigmoid colon cancer. The mucosa of the obstructive lesion was erythematous and hemorrhagic but normal mucosa was found immediately above the 3 cm long obstructive lesion. The proximal bowel of the normal mucosa showed colitis with hemorrhagic mucosal changes and yellowish exudative plaques. Surgery was performed as a segmental resection after placing a metallic stent to decompress the proximal colonic loop. In conclusion, obstructive colitis should be considered if an ulcero-inflammatory lesion with a colonic obstruction and a skip lesion in the proximal colon are detected. (Korean J Gastrointest Endosc 2008;36:177- 180)
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