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1. 痔核：臨床症状および診断hemorrhoids clinical manifestations and diagnosis [show details]
…to the degree to which they prolapse from the anal canal : Grade I hemorrhoids are visualized on anoscopy and may bulge into the lumen but do not prolapse below the dentate line; Grade II hemorrhoids prolapse …
2. 肛門直腸に異常を訴える成人患者へのアプローチapproach to adult patients with anorectal complaints [show details]
…patients. A complete anorectal examination consists of inspection, digital rectal examination, anoscopy/proctoscopy, and endoscopy. The first three parts are usually achievable in any office setting; …
3. 肛門扁平上皮内病変：疫学、臨床症状、診断、スクリーニング、予防、治療anal squamous intraepithelial lesions epidemiology clinical presentation diagnosis screening prevention and treatment [show details]
…swab to collect a sample of cells without direct visualization of the anal canal. High-resolution anoscopy (HRA), a method of examining the anal canal that uses application of acetic acid, Lugol iodine, …
4. 肛門そう痒症患者へのアプローチapproach to the patient with anal pruritus [show details]
…neoplasia is suspected or if the diagnosis is unclear. An anoscopy should be performed to evaluate the anal canal and the distal rectum. Anoscopy has the advantage of being a quick, relatively painless, …
5. 男性間性交渉者に生じる肛門直腸症状の評価evaluation of anorectal symptoms in men who have sex with men [show details]
…digital rectal exam for palpable abnormalities (eg, perianal abscess, rectal mass). In addition, anoscopy is recommended for patients with rectal pain, bleeding, and/or bloody or purulent discharge and …

Japanese Journal

腹腔鏡下手術の術前処置のグリセリン浣腸が原因で溶血尿と肛門部皮膚潰瘍を生じた1例

尾上洋樹,竹下亮輔,江渡恒,永沢崇幸,佐藤誠也,松浦朋彦,佐藤慧,馬場長
岩手医学雑誌 72(4), 171-176, 2020
… ．術前処置として手術当日の朝に120 mlのグリセリン浣腸を施行した．1時間後，肛門の痛みと腫脹を認めた．全身麻酔導入後に尿道バルーンカテーテルを挿入すると血色素尿の流出を認めた．術中に膀胱鏡と肛門鏡を施行したが、穿孔を疑う粘膜の損傷は認めなかった．術後の血液検査でビリルビンの上昇，CTで肛門周囲の脂肪織の濃度上昇を認め，グリセリンの腸管外漏出による溶血と診断した．速やかに補液と利尿 …
NAID 130007940852