Surgery Today

, Volume 27, Issue 4, pp 353–356 | Cite as

A nonspecific colonic ulcer occurring after hepatectomy: Report of a Case

  • Yuichi Ando
  • Kenji Kikuchi
  • Naoya Ichikawa
  • Kazuhiko Meigata
  • Yuji Nomura
  • Kenshi Watanabe
  • Yoshifumi Beck
  • Hisakazu Degawa
  • Shinji Tomikawa
  • Takeshi Nagao
  • Hisanori Chida
Case Reports

Abstract

We herein report the case of a 53-year-old man with a nonspecific acute colonic ulcer whose liver function deteriorated after he had undergone hepatectomy. He was referred to our hospital for a hepatoma caused by hepatitis B virus and a right hemihepatectomy was performed. His liver function was poor after the operation, and minor complications such as pleural effusion and biliary fistula developed. A large amount of melena was seen 29 days after the hepatectomy and he developed hemorrhagic shock. Superior mesenteric arteriography revealed pooling of blood in both the hepatic flexure of the ascending colon and the cecum. An emergency right hemicolectomy was performed. There was a 5 x 1-mm ulcer 18 cm distal to the ileocecal valve. Numerous erosions were observed to be scattered throughout the colonic mucosa. The patient recovered slowly and was discharged 6 months after the hepatectomy. This is the first report of an acute colonic ulcer that could have been caused by liver dysfunction.

Key Words

nonspecific colonic ulcer liver dysfunction hepatectomy 

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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Yuichi Ando
    • 1
  • Kenji Kikuchi
    • 1
  • Naoya Ichikawa
    • 1
  • Kazuhiko Meigata
    • 1
  • Yuji Nomura
    • 1
  • Kenshi Watanabe
    • 1
  • Yoshifumi Beck
    • 1
  • Hisakazu Degawa
    • 1
  • Shinji Tomikawa
    • 1
  • Takeshi Nagao
    • 1
  • Hisanori Chida
    • 1
  1. 1.Department of Surgery and Transplantation, Institute of Medical ScienceUniversity of TokyoTokyoJapan

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