Crohm's Disease Initially Suggested by Minute Duodenal Lesions, Report of a Case Takayuki Matsumoto 1 , Mitsuo Iida 2 1The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University 2Division of Gastroenterology Ⅱ, Department of Medicine, Kawasaki Medical School Keyword: Crohn病 , 十二指腸潰瘍 , アフタ様潰瘍 pp.1431-1436
Published Date 1994/12/25
DOI https://doi.org/10.11477/mf.1403106025
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 A 28-year-old man with a history of duodenal ulcer visited our hospital in March, 1991, complaining of epigastralgia. Upon upper endoscopy, an open ulcer and minute aphthous ulcers in the duodenum, and multiple erosions in the gastric antrum were detected. Because the biopsy specimens obtained from the antrumvrevealed epithelioid cell vgranuloma, the patient was suspected of having Crohn's disease. Double-contrast studies of the small intestine and the colon, and colonoscopy confirmed the findings characteristic of the disease. Our case suggests that careful observation during upper endoscopy can reveal findings which lead to a definite diagnosis of Crohn's disease.

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