Cabano F, Zonta A, Prati U
Minerva Chir. 1980 May 15;35(9):661-8.
A case of "simple ulcer" of the colon is reported. The lesion is uncommon and not well known. As far as pathogenesis is concerned, the Authors emphasize the role of peptic, neurogenic, circulatory, bacterial, toxic and mechanical factors. The following clinical picture was observed: sudden and acute abdominat pain due to colonic perforation with pneumoperitoneum. As already described by literature preoperative correct diagnosis was not possible; this is usually due to the fact that the ulcer tends to perforate before other symptoms arise. During surgery suture of the ulcer, temporary colostomy and Mikulicz's drainage were performed; after 4 months colostomy was closed.
报道了一例结肠“单纯性溃疡”病例。该病变并不常见且鲜为人知。就发病机制而言，作者强调了消化性、神经源性、循环性、细菌性、中毒性和机械性因素的作用。观察到以下临床表现：因结肠穿孔伴气腹导致突发急性腹痛。正如文献中已描述的那样，术前无法做出正确诊断；这通常是因为溃疡往往在其他症状出现之前就发生穿孔。手术期间对溃疡进行了缝合、做了临时结肠造口术并放置了米库利奇引流；4个月后关闭了结肠造口。
