Ischemic Ileitis Presenting as Multiple Strictures, Report of a Case Yuji Yano 1 , Kunihiko Aoyagi 1 , Takashi Yao 2 , Takayuki Matsumoto 1 , Kazuoki Hizawa 1 1The Second Department of Internal Medicine, Kyushu University 2The Second Department of Pathology, Faculty of Medicine, Kyushu University Keyword: 虚血性小腸炎 , 多発性狭窄 pp.1655-1661
Published Date 1995/12/25
DOI https://doi.org/10.11477/mf.1403105606
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 A 73-year-old woman was admitted with a complaint of lower abdominal pain which had lasted for three months. She had no history of abdominal trauma. On admission, feces was positive for occult blood and negative for pathogenic bacterium. Esophagogastroduodenoscopy and colonoscopy were unremarkable except for a healing ulcer of the stomach. The abdominal ultrasonography demonstrated extensive wallthickening of the ileum. The radiographic examination of the small bowel showed multiple strictures of the distal ileum measuring about 40 cm in length. Resected specimen of the diseased ileum demonstrated four circumferential shallow ulcerations. Histologically, multiple ulcerations were accompanied by submucosal fibrosis and the surrounding areas revealed regenerative mucosal changes due to chronic inflammation and edematous submucosa. Therefore, all these lesions were considered to be parts of a segmental Ischemic lesion.

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