回盲部腸結核症の2例―特に肉眼所見を中心にして

Two Cases of the Ileocecal Tuberculosis: With special references to macroscopic findings of the resected specimens

　最近，本邦における腸結核所見のとらえ方として，潰瘍の形状を中心とした従来の黒丸分類だけでなく，瘢痕帯を含めての潰瘍の分布，走行，配列をとらえること¹⁾が，他の腸管炎症性疾患との鑑別上の眼目²⁾³⁾であると考えられるようになってきた．そこで著者は，回盲部本症の2切除症例について，それらの切除標本の肉眼像を再検討したので報告する．

　Two cases of the ileocecal tuberculosis with caseation necrosis were studied with special references to macroscopic findings of the resected specimens. 1) Macroscopically, the ileocecal tuberculosis was recognized as the girdle ulcer scars with thickening of the bowel wall which were accompanied with various types of open ulcers, ulcer scars and pseudopolyps. 2) Mucosa around the girdle ulcer scar showed the converging folds with pseudopolyps and edematous hypertrophic folds. 3) Two lesions were all classified as ulcerohypertrophic type. 4) Skip lesions were found apart from ileocecal lesions. They were all irregular round ulcers and classified as ulcerative type without girdle ulcer scar, contrary to the ileocecal lesions.