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A Case of Ischemic Colitis of the Ileocaecal Region Associated with Behçet's Syndrome C. Sekiya 1 , K. Harada 1 , Y. Takasugi 1 , M. Namiki 1 1The 3rd Department of Internal Medicine, Asahikawa Medical College pp.657-660
Published Date 1979/5/25
DOI https://doi.org/10.11477/mf.1403107675
  • Abstract
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 A 47-year-old woman was admitted to Hokkaido University Hospital complaining of ulcers of mouth and external genitalia and erythema nodosum. The patient was diagnosed as to have Behçet's syndrome and treated by non-steroid antiphlogistics. About two months later, abdominal pain and bloody stool (about 2,500 ml) occurred. Radiological and endoscopical examinations failed to detect the bleeding site in the gastrointestinal tract. But, soon after, symptoms disappeared without curative therapy. About three months later, abdominal pain and bloody stool occurred again, and a mass was palpable in the right lower quadrant. Barium enema of the colon revealed thumbprinting and pseudotumor in the ascending colon, suggesting ischemic colitis. Operation was immediately performed and revealed the reddened and thickened wall of the ascending colon, which was surgically removed. The resected specimen showed a widely-spread ulcer in the ascending colon and two ulcers in the ileum end. Histological examination showed marked edema in the submucosa, hyaline degeneration, fibrin deposition and thickening of the blood vessel walls, thrombus formation of the blood vessels and infiltration of lymphocytes and neutrophile leucocytes. Soon after, the patient died of recurrence of ulcer.


Copyright © 1979, 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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