Ischemic Enteritis with Stenosis, Report of a Case Takatsugu Yamamoto 1 , Tsuguru Shirai 1 , Akari Isono 1 , Tadahisa Ebato 1 , Yuji Mishina 1 , Koichiro Abe 1 , Taro Ishii 1 , Yasushi Kuyama 1 , Keiji Matsuda 2 , Toshiaki Watanabe 2 , Junichi Fukushima 3 1Department of Internal Medicine, Teikyo University School of Medicine, Tokyo 2Department of Surgery, Teikyo University School of Medicine, Tokyo 3Department of Pathology, Kanto Medical Center, NTT East Corporation, Tokyo Keyword: 虚血性小腸炎 , 縦走潰瘍 , 顆粒状変化 pp.1544-1550
Published Date 2011/9/25
DOI https://doi.org/10.11477/mf.1403102363
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 A male aged over 60 years was admitted to Teikyo University Hospital in January, 2009, because of respiratory failure due to pneumonia, heart failure and atrial fibrillation. After intensive care was his general condition had improved, but he presented abdominal symptoms such as pain and vomiting. Abdominal CT showed intestinal dilatation due to stricture of the terminal ileum. Endoscopic examination using the single balloon method demonstrated severe stenosis associated with longitudinal ulceration of the ileum located at the opposite side of the mesentery. He underwent surgical resection that revealed the lesion as ischemic enteritis. Although the number of reported cases with ischemic enteritis is increasing, information about the endoscopic findings of ischemic enteritis is scarce. A longitudinal ulcer at the opposite side of the mesentery seemed a characteristic presentation of the disease. Large granular appearance seen at the ulcer bed was granulation tissue, which was thought to be a sign indicating limitation of conservative treatment.

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