Crohn's Disease of the Colon Followed-up for Five Years, Report of a Case Y. Yokoyama 1 , T. Takeuchi 1 1The First Department of Internal Medicine, School of Medicine, Nagoya City University pp.317-320
Published Date 1984/3/25
DOI https://doi.org/10.11477/mf.1403106980
  • Abstract
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 A case of colonic Crohn's disease was reported, which did not show any aggravation for five years and kept remission state at least for recent one year. The patient was a 28 year-old man and visited our hospital with the complaint of mucous stool and upper abdominal pain.

 On admission, a tumorous mass in the upper abdomen and fistula ani were recognized by physical examination.

 Barium enema and endoscopic findings revealed longitudinal ulcers and cobblestone appearance in the transverse colon. Aphthoid ulcers were also seen in the ascending and descending colon, and a diagnosis of colonic Crohn's disease was made.

 The clinical symptoms and x-ray findings were improved remarkably by Salazopyrin administration for four years. The remission state has been kept without any medical treatment for recent one year.

 The latest x-ray and endoscopic examination showed a few longitudinal ulcer scars only limited in the transverse colon.

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