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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Cruveilhier J (1832) Un beau cas de cicatrisation d'un ulcère de l'intestin gael éciatant d'une douzaine d'armels. Bull Soc Anat7:1–2
Uribe A, Johansson C, Slezak P, Rubio C (1986) Ulcerations of the colon associated with naproxen and acetylsalicylic acid treatment [letter]. Gastrointest Endosc 32:242–244
Sutherland D, Frech RS, Weil R, Najarian JS, Simmons RL (1972) The bleeding cecal ulcer: pathogenesis, angiographic diagnosis, and nonoperative control. Surgery 71:290–294
Butsch JL, Dockerty MB, McGill DB, Judd ES (1969) “Solitaryl” nonspecific ulcers of the colon. Arch Surg 98:171–174
Ona FV, Allende HD, Vivenzio R, Zaky DA, Nadaraja N (1982) Diagnosis and management of nonspecific colon ulcer. Arch Surg 117:888–894
Rubio CA, Nydahl S (1994) “Nonspecific” erosions and ulcers of the colonic mucosa. Dig Dis Sci 39:821–826
Barlow D (1941) “Simple” ulcers of the caecum, colon, and rectum. Br J Surg 28:575–581
Cameron J (1939) Simple non-specific ulcer of the colon. Br J Surg 26:526–530
Mark H, Ballinger W (1964) Nonspecific ulcer of the colon, report of a case and review of 51 cases from the literature. Am J Gastroenterol 41:266–270
Anscombe AR, Keddie NC, Schofield PF (1967) Solitary ulcers and diverticulitis of the caecum. Br J Surg 54:553–557
Lipton S, Reiman E (1951) Simple ulcer of the cecum. Ann Surg 134:279–282
Williams L (1960) Acute solitary ulcers and acute diverticulitis of the caecum and ascending colon. Br J Surg 47:351–358
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ando, Y., Kikuchi, K., Ichikawa, N. et al. A nonspecific colonic ulcer occurring after hepatectomy: Report of a Case. Surg Today 27, 353–356 (1997). https://doi.org/10.1007/BF00941812
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00941812