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- W2334442714 abstract "We experienced a case of perforation of the sigmoid colon associated with chronic renal failure. A 66-year-old man who had been under hemodialysis was admitted to the hospital because of lower abdominal pain. Physical examination on admission showed tenderness, rebound tenderness and muscle guarding at the lower abdomen. Plain chest X-ray and abdominal CT showed intraperitoneal free air. Under the diagnosis of perforation peritonitis, an emergency laparotomy was carried out. During the laparotomy, a perforation, 4cm in size, was found at the sigmoid colon. Any tumor was not found at the sigmoid nor descending colon. A drainage of the peritoneal cavity and a sigmoidectomy were performed. In a histological study, diverticulum was found at the perforated site of the sigmoid colon. The postoperative course was uneventful, and he was discharged on the 32nd postoperative day. In case of emergency operation on patients associated with chronic renal failure, intensive care on the perioperative management is indispensable. In this case, by means of CHDF (continuous hemodiafiltration), a stable cardio-circulatory status could be maintained. It is suggested that CHDF is effective in the perioperative management of the patient associated with chronic renal failure." @default.
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- W2334442714 date "1999-01-01" @default.
- W2334442714 modified "2023-10-01" @default.
- W2334442714 title "A CASE OF PERFORATION OF THE COLON ASSOCIATED WITH CHRONIC RENAL FAILURE" @default.
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- W2334442714 doi "https://doi.org/10.3919/jjsa.60.3219" @default.
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