Long Time Follow-up of Progressive Systemic Sclerosis with Lesions of the Esophagus and the Small Intestine, Report of a Case Masahiro Noguchi 1 , Hiroto Nishimata 1 1The Second Department of Internal Medicine, Kagoshima University School of Medicine Keyword: 進行性全身性強皮症 , 逆流性食道炎 , loop sign , 偽腸閉塞 pp.1277-1280
Published Date 1991/11/25
DOI https://doi.org/10.11477/mf.1403102692
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 A 53-year-old man was diagnosed as having progressive systemic sclerosis in 1969. Since then, he has been admitted to our hospital time and time again with complaints of heart burn, hematoemesis caused by reflux esophagitis and esophageal ulcer, and upper abdominal pain, nausea, vomiting caused by pseudoileus of the small intestine. Radiographic and endoscopic examination (Fig. 1, 2a, 2b) revealed dilatation, irregular mucosa and ulcer in the middle and lower esophagus. Radiographic examination (Fig. 3a, 3b) revealed dilatation in the descending and transverse portion of the duodenum, stenosis and dilatation in the upper part of the jejunum. Reexamination after 7 years (Fig. 4a, 4b) showed dilatation of the duodenum, but no changes in the upper part of the jejunum. We report the radiological changes of the esophagus, duodenum and jejunum of the patient suffering from progressive systemic sclerosis and disscussed it.

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