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KMID : 0359020080360030177
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.36 No. 3 p.177 ~ p.180
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Obstructive Colitis Proximal to Obstructive Lesion of the Colon Cancer
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Oh You-Kyoung
Kim Jin-Il
Cheung Dae-Young
Park Soo-Heon
Kim Jae-Kwang
Lee In-Kyu
Jung Seung-Eun
Park Gyeong-Sin
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Abstract
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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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KEYWORD
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Obstructivecolitis, Colonobstruction, Coloncancer
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