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

Nonspecific Ulcer of the Colon; Report of a Case Which Was Correctly Diagnosed Radiologically before the Operation T. Sasaki 1 , M. Maruyama 1 , K. Nakamura 3 1Dept. of Internal Medicine, Cancer Institute Hospital 3Dept. of Pathology, Cancer Institute Hospital pp.787-790
Published Date 1979/6/25
  • Abstract
  • Look Inside

 A 37-year-old male patient was admitted with a complaint of the right lower abdominal pain. X-ray examination of the upper gastrointestinal tract did not detect any abnormalities in the esophagus, the stomach, and duodenal intestine. Barium meal method showed irregular niches in the cecum and ileum. Compression method revealed the niches with fold convergence better than the filling method.

 Colonoscopy showed a deep ulcer with a white coating in the cecum but an ulcer of the ileum was not detected. The clinical diagnosis of multiple nonspecific ulcers of the ileum and cecum was performed by X-ray and colonoscopic examinations.

 A resected specimen revealed two deep ulcers in the cecum and ileum measuring 2.2×2.5 cm and 2.0×1.5 cm respectively.

 From our findings we concluded that nonspecific ulcers can be distinguished from diseases such as Behçets disease,Crohn's disease, colonic tuberculosis and cancer of the large bowel by using a combination of X-ray examinations, clinical findings, endoscopy and angiography.

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