A Case of Yersinia enterocolitica Enterocolitis Accompanied by Colonic Adhesion after Surgery for Uterine Myoma in an Adult Patient / 대한내과학회지
Korean Journal of Medicine
; : 757-763, 2012.
Article
en Ko
| WPRIM
| ID: wpr-126601
Biblioteca responsable:
WPRO
ABSTRACT
Yersinia enterocolitica infection in adults in Korea is reported rarely. Therefore, the possibility of Yersinia infection as a cause of abdominal pain may be overlooked. Because its clinical features are similar to those of acute appendicitis or other diseases that require operations, Yersinia enterocolitis should be diagnosed before surgery. We recently experienced a case of Y. enterocolitica enterocolitis accompanied by postoperative colonic adhesion. A 39-year-old female patient with a 5-year history of asymptomatic uterine myoma underwent transabdominal hysterectomy due to abdominal pain. However, the pain worsened. On CT, diffuse swelling of the right colon and adhesion of the sigmoid colon with luminal narrowing were found. Colonoscopy showed multiple aphthous ulcers with mucosal hyperemia from the cecum to the sigmoid colon. Multiplex PCR with stool specimens, a hemagglutination test for Y. enterocolitica O3, and tissue culture were positive for Y. enterocolitica. After fluids and antibiotic therapy, her symptoms were relieved.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Apendicitis
/
Fenobarbital
/
Colon Sigmoide
/
Estomatitis Aftosa
/
Yersinia
/
Yersinia enterocolitica
/
Yersiniosis
/
Pruebas de Hemaglutinación
/
Dolor Abdominal
/
Ciego
Tipo de estudio:
Clinical_trials
Límite:
Adult
/
Female
/
Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
2012
Tipo del documento:
Article