Crohn's Disease of the Colon M. Tsukamoto 1 , M. Toyono 1 , T. Yamazaki 2 1Dept. of Surgery, Yamagata Univ., School of Medicine pp.537-541
Published Date 1978/4/25
DOI https://doi.org/10.11477/mf.1403107279
  • Abstract
  • Look Inside

 Two cases of Crohn's colitis were reported. The first case, a 22 years old female was suffered from perianai lesion for 4 years. By barium enema study, narrowing and longitudinal ulceration of the descending colon were demonstrated. Left hemecolectomy and colostomy at transverse colon was chosen because of her fecal incontinenz by perianai lesion. Resected specimen showed longitudinal ulceration and cobblestone appearance of residual mucosa.

 The second case is a 55 years old male. He complains lower abdominal discomfort and nausea. Segmental narrowing with ulceration of ileum was demonstrated by X-ray examination. By laparotomy skipping ulcerative lesion of entire colon were also shown. Total colectomy with ileoproctostomy was performed. After 2 years, fecal fistula appeared at his abdominal wall. It was a sign of recurrence of inflammatory bowel disease. Fecal fistula was communicating into the ileal lumen where the ileoproctostomy of the first operation was located at near 3 cm distance. Resection of the anastomotic portion and fecal fistula was performed. Histological examination of the specimen secured the recurrence of Crohn's ileocolitis.

Copyright © 1978, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院