雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Duodenojejunitis Regionalis Acuta, Report of Two Cases Y. Nakamura 1 , K. Nakamura 1 , K. Tani 1 , Y. Okada 2 , H. Watanabe 3 1Fukuoka Medical Association Hospital 2Dept. of Internal Medicine, Faculty of Medicine, Kyushu University 32nd. Dept. of Pathology, Faculty of Medicine, Kyushu University pp.1483-1488
Published Date 1973/11/25
DOI https://doi.org/10.11477/mf.1403108449
  • Abstract
  • Look Inside

 Two cases of regional enteritis, localized in the duodenum and the oral segment of the jejunum and completely healing with a subacute course, have been described here for their clinical symptoms, laboratory findings and x-ray observations. In one case duodenofiberscopy was coemployed with biopsy.

 The patients, both male and aged 70 and 50, respectively, had the onset of the disease both in August with an antecedent history of eating greasy food. At the outset the symptoms in both cases were those of acute gastroenteritis, but medical treatment was of no avail and they were admitted to the hospital 10 days after they had fallen ill. They complained of pain in the upper part of the abdomen, nausea, vomiting and loss of appetite. No diarrhoea was seen. The abdomen was not tender, nor was there defénce musculaire. No tumor mass was palpated. Examinations at admission showed positive occult blood in the feces (++ to +++), moderate degree of neutrophilia and hypoproteinemia with increase in α2-gl level. X-ray pictures of the small bowel disclosed string-like narrowing of the loop, marked edematous swelling of the mucosal folds, irregular and slightly rigid intestinal contour. No ulcer was recognized.

 Subjective symptoms and occult blood in the feces disappeared after two weeks; hypoproteinemia and abnormal x-ray findings were corrected in one month and a half to two months. There was no reccurrence during one year and a half in one case and four years in the other.

 Endoscopy of the 70-year-old man showed unevenness of the mucosal surface due to edema and a lot of erosions with white coat and reddening. After one month and a half erosions and edema went away. Biopsy at the initial endoscopy revealed edema of the lamina propria mucosae accompanied with inflammatory changes such as vascular dilatation and manifest infiltration with neutrophils.

 Both cases are considered different from the acute type of Crohn's disease. The cause is as yet unclarified. At present we are unable to rule out some allergic changes for the manifestations in our cases.


Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る

文献を共有