A Case of Ulcerative Colitis after Mitral Valve Replacement due to Infective Endocarditis
10.4326/jjcvs.38.327
- VernacularTitle:感染性心内膜炎に対する僧帽弁置換術後に潰瘍性大腸炎を併発した1例
- Author:
Norimasa Koike
;
Tatsuo Kaneko
;
Masahiko Ezure
;
Yasushi Sato
;
Yutaka Hasegawa
;
Syuichi Okada
;
Hitomi Takihara
;
Izumi Takeyoshi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(5):327-331
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of ulcerative colitis (UC) after mitral valve replacement (MVR) surgery due to infective endocarditis (IE). A 59-year-old woman underwent MVR for mitral regurgitation due to IE. Six days after the surgery, melena was observed suddenly, and she received a blood transfusion. Ulcer and erosion were observed in the rectum 5 to 10 cm from the anal ring by endoscopy. We changed her antibiotic treatment and stopped warfarin potassium. Heparin sodium was started 2 days after melena. We diagnosed ulcerative colitis from the finding of the rectal lesion and biopsy. We gave mesalazine and betamethasone as treatment for UC. The patient's condition improved and her general condition stabilized. She was discharged 36 days after surgery.
