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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 20巻3号
  1. 部局別インデックス
  2. その他

[症例報告]Renal papillary necrosis : An autopsy case report and a brief review of the literature

http://hdl.handle.net/20.500.12000/0002016137
http://hdl.handle.net/20.500.12000/0002016137
e93df17c-d4ff-4671-a66f-42caac1c3a56
名前 / ファイル ライセンス アクション
v20p137.pdf v20p137.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [症例報告]Renal papillary necrosis : An autopsy case report and a brief review of the literature
言語 ja
作成者 Takeshima, Yoshitaka

× Takeshima, Yoshitaka

en Takeshima, Yoshitaka

Nakachi, Atsushi

× Nakachi, Atsushi

en Nakachi, Atsushi

Shimoji, Hideaki

× Shimoji, Hideaki

en Shimoji, Hideaki

Miyazato, Hiroshi

× Miyazato, Hiroshi

en Miyazato, Hiroshi

Muto, Yoshihiro

× Muto, Yoshihiro

en Muto, Yoshihiro

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 renal papillary necrosis
言語 en
主題Scheme Other
主題 sepsis
言語 en
主題Scheme Other
主題 radiation-associated proctocolitis
内容記述
内容記述タイプ Other
内容記述 An 83-year-old Japanese woman was admitted to our surgical department for persistent rectal bleeding on July 11, 1997. The patient had received radiotherapy for uterine cervical cancer 3 years previously. Her performance status was grade 3, due to bilateral femoral fracture. Sixteen months after radiotherapy, the patient demonstrated slight rectal bleeding. Since her rectal bleeding was persistent and intractable, she underwent proctectomy with colostomy. The resected rectum histologically showed severe endoarteritis and she was diagnosed to have a radiation proctitis. She developed paralytic bowel obstruction on the 6th post operative day (POD) and renal dysfunction with signs of systemic inflammatory response syndrome on the 10th POD. On the 25th POD, she developed a sudden onset of hematemesis and hypovolemic shock. An emergency endoscopic examination showed bleeding from multiple shallow ulcers in the stomach (acute gastric mucosal lesion). Simultaneously the patient presented with clinical manifestations of sepsis. The patient finally expired due to multiple organ failure. The autopsy revealed clinically insidiously progressing bilateral renal papillary necrosis, which was considered to be the primary cause of her death. Microscopically multiple extensive necrosis areas were observed in the renal papilla.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
言語
言語 eng
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 20, 号 3, p. 137-139
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