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IF値: 1.878(2021年)→1.8(2022年)


Journal of Medical Ultrasonics

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1999 - Vol.26

Vol.26 No.03

Case Report(症例報告)

(0125 - 0130)


A Case of Stricture-Type Ischemic Colitis Followed Up by Ultrasonography: Comparison of the Stricture- and Transient-Types

藤村 二郎1, 真田 泰興1, 鈴木 重道1, 桑田 幸央1, 井上 和彦1, 坂之上 一史1, 香川 幸司1, 菅沢 一子2, 伊原 恵子2, 多久和 小百合2

Jiro FUJIMURA1, Yasuoki SANADA1, Shigemichi SUZUKI1, Yukio KUWATA1, Kazuhiko INOUE1, Kazufumi SAKANOUE1, Koji KAGAWA1, Kazuko SUGESAWA2, Keiko IHARA2, Sayuri TAKUWA2

1松江赤十字病院内科, 2松江赤十字病院検査部腹部超音波検査室

1Department of Internal Medicine, Matsue Red Cross Hospital, 200 Horo-machi, Matsue-shi, Shimane-ken 690-8506, Japan, 2Division of Abdominal Ultrasound, Matsue Red Cross Hospital, 200 Horo-machi, Matsue-shi, Shimane-ken 690-8506, Japan

キーワード : Endoscopic ultrasonography, Stricture-type ischemic colitis, Transient-type ischemic colitis, Ultrasonography

A 68-year-old woman was admitted to this institution because of left abdominal pain. Transabdominal ultrasonography (US) showed diffuse thickening (10 mm) and blurred stratification of the descending colon, and thickening of the bowel wall was still apparent 13 weeks after onset. Endoscopic ultrasonography (EUS) showed thickening, mainly of the fourth layer. US was used to examine 12 patients with transient-type IC. Thickness of the bowel wall ranged from 6 to 12 mm (mean, 8.4 mm). Wall stratification disappeared, however, in 1 of these patients. Six of 7 cases observed 1 week after onset showed decrease in colonic-wall thickness, to less than 4 mm. We conclude that the US findings of stricture-type IC were wall thickening with blurred stratification and wall thickening that remained for a prolonged period of time.