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Lower Gastrointestinal Disease with Granuloma Kiyotaka Okawa 1 , Tetsuya Aoki 1 , Wataru Ueda 1 , Hiroko Ohba 1 , Masato Miyano 1 , Hiroshi Ono 1 , Hideki Fujii 1 , Seiko Yamaguchi 1 , Osamu Kurai 1 , Koji Sano 2 , Masayuki Onodera 3 , Shiro Nakamura 4 1Department of Gastroenterology, Osaka City Juso Hospital, Osaka, Japan 2Department of Gastroenterology, Osaka City General Hospital, Osaka, Japan 3Department of Pathology, Kawanishi City Hospital, Kawanishi, Japan 4Division of Dermatology, Hyogo College of Medicine, Nishinomiya, Japan Keyword: 肉芽腫 , 腸結核 , エルシニア腸炎 , 腸チフス , パラチフス pp.1431-1440
Published Date 2016/10/25
DOI https://doi.org/10.11477/mf.1403200745
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 We examined our cases of intestinal tuberculosis and Yersinia enterocolitis in terms of clinical features, endoscopic characteristics, and differential diagnoses. Moreover, we present a case of paratyphoid enterocolitis. Clinical features and endoscopic findings are important for differential diagcosis of these disease, because these diseases specific granuloma have not been almost obtained from the biopsy specimens. In total, 57% of our intestinal tuberculosis cases were asymptomatic. Endoscopic characteristics of intestinal tuberculosis include the following:circular or circularly-arranged ulcers, coexistence of multiple ulcer scars and active ulcers, irregular arborescent ulcers with redness, and a cobblestone-like appearance. The main symptoms of Yersinia enterocolitis are abdominal pain and fever. Endoscopic characteristics of Yersinia enterocolitis include swelling of Peyer's patches with small erosions, swelling of the ileocecal valve, and aphthoid ulcers extending from the terminal ileum to the ascending colon.


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

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