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Simple Ulcer of the Cecal Region with Behcet Disease: A case report Y. Kurihara 1 1The 2nd Department of Internal Medicine, Fukushima Medical College Hospital pp.923-926
Published Date 1979/7/25
DOI https://doi.org/10.11477/mf.1403107718
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 A 39-year-old female had a chief complaint of ileocecalgia. She had been treated at the department of dermatology under a diagnosis of recurrent aphthous stomatitis and genital ulcers. She was diagnosed to have incomplete type of Behcet disease 10 years ago. She was admitted to our department because of abdominal symptomes. X-ray examination revealed a large irregular shaped ulcer in the ileocecal region.

 Surgical treatment was undertaken because it was considered intractable and perforation was suspected from a view point of all experienced our cases and literature survey. Therefore ileo-cecal resection was performed and a large irregular ulcer, measuring 4.5 by 2.7cm in size, was, found in the cecum, near the Bauhin's valve. Its margin was sharp and underminding. A small elevated lesion, 4 by 5mm in size was also recognized at 9cm proximal to the terminal ileum.

 Histologically, the ulcer was nonspecific and deep enough to be classified to Ul-Ⅳ, but not penetrated or perforated. The small elevated lesion mainly consists of marked lymph aggregates.

 In spite of removal of ileo-cecal region, symptomes other than intestinal tract did not improved.


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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