J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2896KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(11): 1480-1484, 1986

Case report

ACASE OF ULCERATIVE COLITIS RELAPSING AT THE DEFUNC-TIONIZED COLON AFTER SUBTOTAL COLECTOMY

Second Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan

Itsuro Neki, Tetsuji Uchiyama, Ryouichi Shimizu, Akitoshi Kudou, Takumi Furuya, Yuuji Shinagawa

A25-year-old female with left sided ulcerative colitis underwent subtotal colectorny, and coloanal anastomosis with diverting ilecostomy by combined abdomino-sacral approach on February 14, 1985. Immediately after the operation, bleeding from the anus occurred, and one month after the operation, endoscopic examination revealed the relapse of the ulcerative colitis in the remaining colon. It was recognized, that relapse had occurred postoperatively at the nonfunctioning colon, which had been free from the disease so long as eight years since the onset of the disease.
Then the relapsed colon was removed, and ileoanal anastomosis with diverting ileostomy was performed, again by combined abdomino-sacral approach. The sacral approach offered an excellent operative field and ensured the anastomosis between the small intestine and the anus.

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