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- W1615498618 abstract "症例は81歳，男性．左主気管支への浸潤を有するStage IVa胸部上中部食道癌との診断で当センター入院となった．放射線化学療法（5-FU 700mg/m2，CDDP 70mg/m2，RT 60Gy）を導入したところ，3コース目終了後に突然の腹痛を訴え緊急入院となった．緊急入院時の腹部CT検査で，下行結腸の壁肥厚とfree air，腹水貯留を認めたため，消化管穿孔との診断で同日緊急手術を施行した．開腹所見では下行結腸脾弯曲寄りに約25mm大の穿孔を認めた．穿孔部を含めた結腸部分切除術，横行結腸人工肛門造設術，下行結腸粘液瘻造設術，腹腔内ドレナージ術を施行した．術後経過は良好で第23病日に退院となった．食道癌に対する5-FU/CDDP療法中の下痢や腹痛などの腸管粘膜障害はしばしば散見されるが，大腸穿孔は非常に稀と考えられ，文献的考察を加えて報告する．" @default.
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- W1615498618 date "2013-01-01" @default.
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- W1615498618 title "A case of stage IV esophageal cancer with colon perforation caused by chemotherapy" @default.
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