Ulcerative Colitis Presenting with Longitudinal Ulcers Diagnosed by Long-term Follow-up Study, Report of a Case Kiyonori Kobayashi 1 , Tomoe Katsumata 1 , Hiroyuki Mitomi 1 , Yoshimasa Yamamoto 1 , Katsunori Saigenji 1 1Department of Internal Medicine, Kitasato University East Hospital Keyword: 縦走潰瘍 , 潰瘍性大腸炎 , 鑑別診断 pp.683-689
Published Date 1990/6/25
DOI https://doi.org/10.11477/mf.1403110954
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 A 36-year-old female was admitted to our hospital because of lower abdominal pain and diarrhea in July 1975. Barium enema study revealed segmental colitis at the hepatic flexure. Mucoid diarrhea and high fever developed in June 1987. Barium enema and colonoscopic examinations showed multiple longitudinal ulcers around the splenic flexure and uneven inflammation in the colon, leading to the diagnosis of probable Crohn's disease. In September 1989, however, ulcerative colitis seemed more likely because of the colonoscopic findings, i.e., granular mucosal pattern with shallow ulcerations and diffuse inflammation from the rectum to the descending colon. It is difficult to differentiate ulcerative colitis from Crohn's disease in certain group of patients since clinical features of these diseases overlap each other. Long term follow-up is necessary to make an accurate diagnosis in these cases.

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