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KMID : 0882420160900010041
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Korean Journal of Medicine
2016 Volume.90 No. 1 p.41 ~ p.45
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Enterocolic Fistula caused by Acute Colitis in a Hemodialysis Patient
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박하늘:Park Ha-Neul
김진아:Kim Jin-Ah/최수경:Choi Soo-Kyoung/신갑수:Shin Kab-Soo/문윤권:Mun Yoon-Gwon/최보미:Choi Bo-Mi/김영옥:Kim Young-Ok
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Abstract
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Enterocolic fistulas are commonly associated with previous surgery, Crohn’s disease, diverticulitis, radiation therapy, and malignancy. Here, we report a rare case of enterocolic fistula caused by acute colitis in a hemodialysis patient. A 62-year-old man on maintenance hemodialysis underwent a radical nephrectomy via a paramedian incision due to spontaneous right kidney rupture and was treated with prophylactic antibiotics. On the 16th day of antibiotic therapy, he complained of abdominal pain and diarrhea. Abdominal computed tomography (CT) and ascitic fluid culture revealed acute bacterial peritonitis and sigmoidoscopy showed acute colitis. After treating these diseases with adequate antibiotics, the abdominal pain and ascites were relieved, but the diarrhea persisted. Abdominal CT obtained 7 days later showed an enterocolic fistula. To our knowledge, this is the first case of enterocolic fistula due to acute colitis in Korea.
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KEYWORD
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Enterocolic fistula, Colitis, Hemodialysis
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