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Multiple and Pan-colonic Type of Diverticular Disease in the Aged Person Which Was Complicated with Hemorrhage M. Yamashiro 1 1Department of Surgery, Tokyo Metropolitan Geriatric Hospital, Yoikuin pp.833-837
Published Date 1980/8/25
DOI https://doi.org/10.11477/mf.1403112722
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 The patient was 82 year-old female who was known to have hypertension and hypertensive cardiovascular disease and had been receiving diuretics and digitalis. She was married, G-3, and had been obese all her life. She had tendency of constipation and began to have intermittent left lower abdominal pain in 1970. On March 29, 1975, she developed left lower quadrant abdominal pain with hemorrhage and low grade fever without any cause. She was hospitalized on March 31 and her blood pressure on admission was 130/70 mmHg but had severe anemia (RBC 298×104, Hgb 9.6 g/dl,Hct 28%) and tachycardia. U. G. I. series showed no bleeding site but L. G. I. series disclosed multiple diverticulae from the hepatic flexure to sigmoid colon. Colonoscopy showed diverticula beyond the 20 cm from the anus but failed to confirm the bleeding site. Blood transfusion was performed for 7 days (total 1,000 ml) and elective surgery was performed. Considering the patient's old age and risk of the operation, left-sided hemicolectomy was performed and only purse-suture was done for the residual diverticulae in the right side hemicolon.

 The patient has been followed post-operatively for 5 years but no complications such as re-bleeding diverticulitis and perforation have occurred.


Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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