紀要論文 Ulcerative Colitis after Multidisciplinary Treatment for Colorectal Cancer with Multiple Liver Metastases: A Case Report

TOMIOKA Kodai:筆頭著者:責任著者  ,  MURAI Noriyuki  ,  FUKUSHIMA Motohiko  ,  YOKOKAWA Hideo  ,  YAMAZAKI Tatsuya  ,  MATSUDA Kazuhiro  ,  KOIZUMI Tomotake  ,  GOTO Satoru  ,  FUJIMORI Akira  ,  ENAMI Yuta  ,  OTSUKA Koji  ,  WATANABE Makoto  ,  AOKI Takeshi  ,  MURAKAMI Masahiko

29 ( 3 )  , pp.315 - 319 , 2017-09 , Showa University Society
ISSN:0915-6380
内容記述
Herein we report on an extremely rare case of ulcerative colitis (UC) with onset after chemotherapy and colorectal resection, and discuss three previously reported cases. A 61-year-old man presented with fecal occult blood and no subjective symptoms. The diagnosis was rectal cancer with multiple liver metastases. Following chemotherapy, the patient underwent laparoscopy-assisted super-low anterior resection, liver resection. On Day 35 following closure of the ileostomy, the patient was referred to Totsuka Kyoritsu Dai-1 Hospital because of diarrhea, bloody stools. Colonoscopy and pathological examination revealed UC. To the best of our knowledge, only three cases of UC following colorectal cancer resection have been described previously. In conclusion, when encountering intractable diarrhea after chemotherapy or surgery, UC should be one of the bowel diseases considered, with prompt systemic examination recommended.
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