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Recurrent Unclassified Ulcer of the Colon and Terminal Ileum, Report of a Case Kyoichi Adachi 1 , Hiroshi Suetsugu 1 , Katsuko Hidaka 1 , Chwdhury Aktar Uz-zaman 1 , Shiro Fukumoto 1 , Saburo Nagaoka 3 1Department of Internal Medicine Ⅱ, Shimane Medical University 3Pathology of Laboratory Medicine, Shimane Medical University Keyword: 分類不能潰瘍 , 大腸 , 回腸 , 再発 pp.203-211
Published Date 1997/2/25
DOI https://doi.org/10.11477/mf.1403105010
  • Abstract
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 The patient was a 44-year-old woman who visited our hospital in June, 1991 because of low grade fever, diarrhea, and left lower abdominal pain. Ba-enema and colonoscopy revealed liner ulceration of the rectosigmoid area. Lower anterior resection was carried out because of enlargement of the ulceration and severe abdominal pain. Histo-pathological examination showed non-specific findings and the lesion was diagnosed as unclassified ulcer. Postoperatively, pain disappeared, but one month and a half after the operation, ulcer recurred in the anastomotic area and the severe pain reappeared. The second operation (resection of the rectum and the sigmoid colon) was performed because of the severe pain. The third operation (resection of sigmoid and descending colon) and the fourth operation (resection of the transverse and ascending colon, and cecum) was done because of perforation by the recurring ulceration at the oral side of the artificial anus. Histologically, all the resected specimens were diagnosed as unclassified ulcers. Two months after the fourth operation, endoscopy revealed recurrence of the ulceration in the terminal ileum. Neither steroid nor alimental diet therapy, nor intra-venous hyperalimentation were effective for ulcer healing and relief of abdominal pain.


Copyright © 1997, 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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