대장암 (大腸癌) 및 담석증을 (膽石症) 동반한 전대장에 (全大腸) 걸쳐 발생된 다발성 대장게실증 (大腸憩室症)
Mortality rate for large bowel cancer in this country have slightly increased in recent years but are still much lower than those in western countries, while Japanese and Caucasians living in Hawaii are the same risk of developing this tumor. Diverticulum is also extremely low incidence in the Korea...
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Veröffentlicht in: | The Korean journal of gastroenterology 1984-01, Vol.16 (1), p.309 |
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Sprache: | kor |
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Zusammenfassung: | Mortality rate for large bowel cancer in this country have slightly increased in recent years but are still much lower than those in western countries, while Japanese and Caucasians living in Hawaii are the same risk of developing this tumor. Diverticulum is also extremely low incidence in the Koreans, which correspond to the view that diverticulosis seldom occurred in population with low risk to colorectal carcinoma. We have seen recently a very interesting case of multiple diverticulosis of entire colon associated with colonic carcinoma and gallbladder stone. This 72-year-old man had had frequent occasion of upper abdominal colicky pain and melena since about couple years ago, when his condition was diagnosed as multiple colonic diverticulosis and gallstone disease at this hospital. The medical conservative treatment was given for a while with transient improvement. He was admitted to this hospital because of intractable abdominal pain and vomiting on 27th september 1983. He appeared acutely and chronically ill and moderately anemic. There was some diffuse tenderness overall abdomen but no ascites or masses. Rectal examination was no abnormalities. Several test for occult blood in stool disclosed negative, His condition was not responded for the medical conservative treatment. He received the surgical operation on the 11th hospital day. Post operative abnormalities was additionally found a large tumor along the right colonic surface which was proved as well differentiated adenocarcinoma, associating with gallbladder stone and numerous colonic diverticulosis just like preoperative findings. |
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ISSN: | 1598-9992 |