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KMID : 0359019900100010089
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Korean Journal of Gastrointestinal Endoscopy
1990 Volume.10 No. 1 p.89 ~ p.93
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A Case of Gangrenous Ischamic Colitis Associated with Rectal Carcinoma
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임대순/Yim DS
이명래/한광협/이상인/강진경/박인서/최흥재/김명욱/양우익/Lee MR/Han KH/Lee SI/Kang JK/Park IS/Choi HJ/Kim MW/Yang WI
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Abstract
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The ischemic coitis proximal to obstructive colon cancer was firstly reported by MacCallum and Kaisch in 1947. Nowsdays, its clinical importance and the study of pathogenesis is reported frequently. Because of the rare inciedence of this complicated condition this lesion could be overlooked which then could result anastomotic leakage, fecal fistula and peritonitis. Recently, we have examined a 61 year-old Korean male patient who had the complaints of acute abdominal pain and bloody diarrhea. The diagnosis of gangrenous ischemic colitis associated with obstucting rectal cancer was confirmed on the basis of sigmoidoscopic and operative and associated histopathological findings. After prompt surgical intervention, the patient was discharged with good improvement. The literatures are reviewed here with the case presentation.
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