Stomach and Intestine(Tokyo) Volume 14, Issue 6 (June 1979)

A Case Report: Non-Specific Simple Ulcer in the Ileocecum S. Kojima 1 , K. Sakamoto 1 , T. Fuchigami 1 , T. Matsui 1 , T. Yao 1 , H. Watanabe 2 1The Second Department of Internal Medicine, Kyushu University 2The Second Department of Pathology, Kyushu University pp.773-778
Published Date 1979/6/25
  • Abstract
  • Look Inside
  • Cited by

 The patient is a 58-year-old female who has had intermittent aphtous stomatitis since 1963. General malaise developed in December, 1977 and she noticed a mass in the right lower quadrant. She, therefore, was admitted to Kyushu University Hosiptal for a further evaluation of the ileocecal mass. X-ray examination disclosed a single ulcer (2×3 cm) at the ileocecal valve but there were no other signs suggestive of Behçets disease except for aphtous stomatitis. Hyperalimentation and administration of salicylazo-sulfapyridin (salazopyrin®) were tried but non-effective and eventually she underwent an operation. On the resected specimen, an undermining deep ulcer (2.3×2.5×0.7 cm) with clear-out margin and converging folds was noted. Three ulcer scars were also found at 12.5 cm, 20 cm and 35 cm proximal to the ileocecal valve. All of the ulcer scars located at the anti-mesenteric side. Histologically the ulcer was Ul-Ⅳ and ulcer scars were Ul-Ⅱ. Analysing the reported cases of non-specific ileocecal ulcer it seems to contain several diseases with different clinical feature. This case resembles intestinal Behçet's disease, however, it does not suffice its criteria. It is unlikely that Behçet's disease will develop in the future considering her age. On the other hand, most of the patients with ileocecal ulcer have characteristic clinical feature, namely ileocecal mass, fever, abdominal pain and melena, and pathological feature is also characteristic. Therefore it should be studied apart from other non-specific ulcers of the intestine.

Copyright © 1979, Igaku-Shoin Ltd. All rights reserved.


14巻6号 (1979年6月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院