AMR Seminar # 64

نویسندگان

  • Volkan Adsay
  • Carlos Bacchi
چکیده

Clinical history: 47 year old female with a history of rheumatoid arthritis for eight years and systemic lupus erythematosus for 10 years, presented with colonic inertia and gallstones. She was hospitalized with a chief complaint of chronic constipation and abdominal pain, which has gone on for approximately 12 years. Ancillary studies demonstrated delayed gastric emptying, deceased rectal tone and dysfunction of anal sphincters. She underwent subtotal colectomy with ileorectal side-to-end anastomosis and cholecystectomy. Gross examination of the colectomy specimen revealed markedly thin colonic wall without any segmental dilatation and the mucosa was unremarkable.

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تاریخ انتشار 2013