Stomach and Intestine(Tokyo) Volume 16, Issue 1 (January 1981)

Ileo-cecal Simple Ulcer Found after Appendectomy K. Terada 1 1Department of Surgery, Kochi Municipal Central Hospital pp.105-110
Published Date 1981/1/25
  • Abstract
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 A 47 year-old man was admitted to our hospital with complaint of the continuous right lower abdominal pain before appendectomy. Fourty-five days after appendectomy, barium enema study revealed a large irregular ulcer near the ileo-cecal valve. Then ileo-cecal resection was carried out.

 The resected specimen demonstrated two open ulcers (A and B). These two ulcers (A and B) were diagnosed as nonspecific, chronic, Ul-Ⅳ, openulcer. But threads were found at the base of the ulcer(A).

 Because the spectrum of ulcer (A) with threads remained unsettled, step sections of the resected specimen were made up. The results of the histological examination were as follows:  1) Threads were found at the oral edge of ulcer (A) only in the No.16 section. Histologically, acute, localized inflammation with polymorphs, lymphocytes and foreign body giant cells were observed only around the threads.

 2) No threads were found in ulcer(B) which was at the anti-mesenteric side. Ulcer (B) was located on the ileo-cecal valve as well as ulcer (A).

 3) Each of the two Ul-Ⅱ, open ulcers and Ul-Ⅱ ulcer scars was found in the terminal ileum, histologically. No threads were found in all of them.

 Therefore, this patient could be diagnosed as simple ulcer in the ileo-cecum, even if ulcer (A) did not exist. As to the spectrum of ulcer (A), it was concluded that ulcer (A) might have possibly occurred before appendectomy, indifferent from the threads.

Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.


16巻1号 (1981年1月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院