[Obstructive colitis induced by laxatives during colonoscopy preparation after ischemic enteritis and improved by endoscopic fecal removal: a case report].

Q4 Medicine
Hidekazu Horiuchi, Yamato Nagata, Shotaro Akiba, Kazuo Okumoto, Shigemi Hachinohe
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引用次数: 0

Abstract

An 84-year-old male patient who was diagnosed with melena was admitted to the hospital with ischemic colitis. During the preparatory procedure for colonoscopy, he reported severe abdominal pain and exhibited decreased blood pressure. Obstructive colitis was suspected, and a colonoscopy was performed. A large amount of hard stool was found in the sigmoid colon, with ulcers and erosions exposing the submucosal layer observed on the proximal side. The endoscope was able to pass through the ileocecal region, and the patient's symptoms subsequently improved. The decline in intestinal function following ischemic enteritis may have contributed to the passage obstruction. Although fecal obstructive enterocolitis is extremely rare, caution is warranted during colonoscopy preparation.

[缺血性肠炎后在结肠镜检查准备期间服用泻药诱发的梗阻性结肠炎,经内镜清除粪便后病情好转:病例报告]。
一名 84 岁的男性患者被诊断出患有缺血性结肠炎,并被送进了医院。在结肠镜检查的准备过程中,他报告了剧烈的腹痛,并表现出血压下降。怀疑是阻塞性结肠炎,于是进行了结肠镜检查。在乙状结肠中发现大量硬结粪便,近端观察到暴露黏膜下层的溃疡和糜烂。内窥镜得以通过回盲部,患者的症状随后得到改善。缺血性肠炎后肠道功能下降可能是造成通道阻塞的原因之一。尽管粪便阻塞性小肠结肠炎极为罕见,但在结肠镜检查准备过程中仍需谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Japanese Journal of Gastroenterology
Japanese Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
0.20
自引率
0.00%
发文量
0
期刊介绍: The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.
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