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An Unusual Presentation of Ileo-cecal Peridiverticular Abscess with Many Epithelioid Cell Granulomas Kazuoki Hizawa 1 , Minako Hirahashi 2 , Hidetaka Yamamoto 2 , Hirofumi Hasegawa 3 , Hitoshi Aomi 1 1Department of Internal Medicine, Kyushu Central Hospital 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University 3Department of Surgery, Kyushu Central Hospital Keyword: 回腸憩室 , 憩室炎 , 憩室周囲膿瘍 , 粘膜下腫瘍 , 類上皮細胞肉芽腫 pp.839-845
Published Date 2005/4/25
DOI https://doi.org/10.11477/mf.1403100118
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 A 43-year-old Japanese man, who had a history of appendectomy at 17 years old, was admitted to our hospital because of recurrent abdominal pain and fever. Colonoscopy showed multi-nodular elevated lesions covered by hyperemic normal mucosa around the ileo-cecal valve, where diverticula were evident on radiography. Histologic examination of the resected specimen revealed chronic diverticultis in the ileo-cecal region. The diverticular abscess was comprised of chronic inflammatory cell infiltration with neutrophils. In addition, many epithelioid cell granulomas were recognized in the ileal mucosa and surrounding lymph-nodes. His postoperative course was uneventful. To date, there has been no findings of granulomatous entero-colitis, including Crohn disease, tuberculosis, and sarcoidosis.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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