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Crohn's Disease with Circular Ulcer, Report of a Case Hiroshi Nakano 1 , Tomoki Saito 1 , Kazuya Takahama 1 , Makoto Watanabe 1 1Department of Internal Medicine, School of Medicine, Fujita Health University Keyword: 小腸 , X線検査 , Crohn病 , 輪状潰瘍 pp.217-222
Published Date 2001/2/25
DOI https://doi.org/10.11477/mf.1403103115
  • Abstract
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 A 36-year-old man visited our hospital with the complaint of abdominal colic and was admitted under the diagnosis of ileus. X-ray examination of the small intestine revealed two stenotic lesions and a dilated lumen between them. At first, intestinal tuberculosis was suspected, because of the symmetrical appearance in the stenotic lesions. In a part of the anal stenotic lesion, irregular laterality was observed and the preoperation diagnosis was Crohn's disease.

 In the operated specimen, typical Crohn's macroscopic findings with longitudinal ulcer and cobblestone appearance were observed in the anal stenotic area and circular ulcers were present in the dilated area and serpigineus ulcer was found on the oral side.

 Those pathological findings were compatible with the Crohn's disease in the diagnosis.

 Circular ulcers in the dilated area and serpigineus ulcer were unusual findings in the diagnostic criteria of Crohn's disease.


Copyright © 2001, 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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