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Repeated Recurrence of Intestinal Behçet's Discase Observed over a 21-year Follow-up Period, Report of a Case Hidehisa Ohi 1 , Junji Tokushige 2 , Kazuichi Terada 3 1Department of Internal Medicine, Nanpu Hospital, Kagoshima 2Tokushige hospital 3Turuta central hospital Keyword: 腸型Behçet病 , 長期経過 , 下掘れ潰瘍 pp.243-252
Published Date 2003/2/25
DOI https://doi.org/10.11477/mf.1403100938
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 A 36-year-old male patient complained of abdominal pain and aphthoid ulcers of the oral cavity, genital ulcers and acne-like eruptions but no eye symptoms. We diagnosed incomplete Behçet's disease. Barium enema examination showed a deep, undermining, oval ulcer on the ileocecal valve. Being diagnosed with intestinal Behçet's disease, the patient was treated with an elemental diet, but this therapy was not effective, We conservatively performed ileocecal resection without reaction. Barium enema five years after the first operation revealed fistula in the anastomotic site, and we started conservative treatment, but it was ineffective and the fistula was aggravated as the course of treatment continued. The symptoms improved, but 2 years after the operation, surgery was performed to remove a lump and the ileum and the anastomotic site was re-operatetion. The small ulcers near the anastomotic site showed further recurrence with time in the same area. 5 years after reoperation, findings outside the bowel became clearer, and an ulcer lesion was typical of intestinal Behçet's disease. Because a skin stoma was formed, we operated again seven years after the 2nd operation. In a follow-up period of 21 years, enterectomy was carried out three times. We reported it because it was a case in which we were able to observe the course which course of the disease which presented configuration of a typical, deep, undermining, oval ulcer which started as a small lesion.


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

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