不全型Intestinal Behcetと思われる1例

Intestinal Ulcer Associated with Probable Bechget's Syndrome: Report of a Case

　回盲部近傍の潰瘍のために，約5年半の間に3回の腸管切除手術を受けたIntestinal Behcetの不全型（眼症状，陰部病変を伴わない）と思われる1例を経験したので報告する．

症例

　症例は，27歳（初診時）主婦．主訴は，右下腹部腫瘤と痛み．既往歴として，15歳の時虫垂炎を経験している．家族歴は特になし．

　A 27-year-old woman was well until May 1970 when she noted a RLQ mass associated with abdominal pain. Barium enema revealed a filling defect with a central ulcer in the proximal ascending colon.

　The patient underwent a right hemicolectomy and the resected specimen demonstrated a sharply-demarcated ulcer with undermined margins.

　Histologically, it was reported as a non-specific ulcer. Since then, the patient has underwent two operations for recurrent intestinal disease. During a 9-year period of follow-up, she has occasionally developed recurrent aphthous stomatitis and arthritis, but never had other signs such as eye lesions and genital ulcers characteristic of Behcet's syndrome. However, the intestinal ulcers were most likely to be of Behcet's syndrome in gross appearance. A long-term follow-up would clarify the true nature of the disease.