小児の回盲部に発生した多発性単純性非特異性潰瘍の1例

Multiple Nonspecific Simple Ulcers in the Ileocecal Region of 9-year-old Boy, Report of a Case

　回盲部は消化管のうちで多種類の病変の発生する部位であるが，注腸透視，大腸内視鏡検査を用いても，その質的診断に際しては困難を感じることが少なくない．最近われわれは9歳男子で，注腸検査にて単純性非特異性潰瘍と診断しえた1例を経験したので報告する．

　The patient is 9-year-old boy who has had intermittent aphthous stomatitis since several years before admission. Five months before admission, he complained of right lower abdominal pain, diarrhea and fever (38～39℃). He, therefore, was admitted to Tsu National Hospital for an evaluation of the right lower abdominal pain.

　Barium enema disclosed multiple ulcers in the ileocecal region but there were no other signs suggestive of Behçet disease except for aphthous stomatitis. Administration of salicylazosulfapyridin (Salazopyrin ®) was tried but was non-effective and eventually he underwent operation.

　On the resected specimen, an undermining deep ulcer (4.0×4.5 cm) with a clear cut margin and converging folds were noted. Four ulcers were also found and all of them were located in the ileocecal region. Histologically, those ulcers were nonspecific ulcers, indicating Ul-VI in depth.