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A Case Report of Intestinal Bechcet Disease K. Nunoi 1,4 , Y. Hiyoshi 1 , K. Tanaka 1 , M. Okumura 1 , K. Umeno 2 , H. Murayama 3 1First Department of Internal Medicine, Fukuoka University 2First Department of Surgery, Fukuoka University 3First Department of Pathology, School of Medicine, Fukuoka University 4Second Department of Internal Medicine, Faculty of Medicine, Kyushu University pp.931-937
Published Date 1979/7/25
DOI https://doi.org/10.11477/mf.1403107720
  • Abstract
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 A 50-year-old male was admitted on July 31, 1976. He had recurrent fever, aphthous stomatitis, skin eruption, ulcer of the penis and pseudobulbar palsy during the last 2 years.

 Nonspecific inflammation was suspected, but various antibiotics were ineffective. He developed progressive abdominal distention and massive melena occurred abruptly on the 10th hospital day. Superior mesenteric angiography on the next day revealed a pooling and/ or extravasation and dilatation of the vessels supplying the terminal ileum. These findings indicated acute inflammatory process, and coincided with multiple pounched-out ulcers observed by barium enema and endoscopical examination. Transfusion of total of 5,700 ml of fresh whole blood and administration of 5gm of γ-globulin were immediately followed by remission lasting for over the next 8 months. The ileocecoectomy was performed during the remission and it disclosed small ten ulcers of various stages mainly at the antimesenteric side of the terminal ileum. Histological examination revealed nonspecific ulcers, some of which penetrated into the serosa. These findings were consistent with those of the cases of intestinal Behcet reported in the literature.


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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