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A Case of the Acute Terminal Ileitis (Pseudotuberculosis, abscedierende reticulocytäre Lymphadenitis―Maßhoff ) N. Goseki 1,3 , S. Hiranuma 1 , T. Aoi 2 , T. Sekiguchi 3 , T. Mochizuki 3 1The 1st Dept. of Surgery, Tokyo Medical and Dental University, School of Medicine 2Dept. of Surgery, Edogawa Hospital 3Dept. of Pathology, Takyo Metropolitan Komagome Hospital pp.1689-1695
Published Date 1978/12/25
DOI https://doi.org/10.11477/mf.1403107578
  • Abstract
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 One case of acute terminal ileitis in 29-years old male, involving regional lymph nodes, is reported.

 The affected ileum was resected with the thickened mesenterium and lymph nodes, and end to end anastomosis was performed.

 Macroscopic findings, it shows multiple small erosions with marked thickening of the submucosa and subserosa by edema.

 Histologically, not only marked exsudative change but also many epithelioid cell granulomas with Langhans type giant cell and multiple microabscess are seen in the mucosa and submucosa (Pseudotuberculosis). Such changes are also seen in the regional mesenteric lymph nodes (abscedierende reticulocytäre Lymphadenitis―Maßhoff).

 No organisms such as Yersinia pseudotuberculosis or Yersinia enterocolitica was identified in faeces after 8 th postoperative day and showed no rising of the agglutinin titer level against both bacteria.


Copyright © 1978, 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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