腸管型Bechcet病疑診の回盲部単純性潰瘍の2例  [in Japanese] TWO CASES OF SIMPLE ULCER OF THE ILEOCECAL REGION WHICH WAS SUSPECTED OF RELATING TO INTESTINAL BEHCET'S DISEASE  [in Japanese]

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Abstract

腸管型Behçet病との関連が疑われる回盲部単純性潰瘍2症例に回盲部切除術を行った.症例1は47歳,男性.主訴は右下腹部痛と発熱であった.口腔粘膜の再発性アフタと陰部潰瘍を認めた.組織学的にはU1-IVの非特異性大腸潰瘍であった.術後4年1カ月経過し再発は認めていない.症例2は43歳,男性.主訴は右下腹部痛であった.口腔粘膜の再発性アフタを認めた.腹部超音波検査ではpseudokidney signに類似した所見を認め,超音波検査は診断に有用と考えられた.組織学的にはU1-IVの非特異的大腸潰瘍であった.術後10カ月経過し再発は認めていない.再発を早期に発見するため十分な経過観察が必要と考える.

Two cases of simple ulcer of the ileocecal region which were suspected to be related to intestinal Behçet's disease underwent ileocecal resection.<br> Case 1: A 47-year-old man was seen at the hospital because of a right lower abdominal pain and fever. Recurrent aphthoid ulcer on the oral mucosa and genital ulcer were noted. Histological findings revealed non-specific ulcer in the colon. Any signs of recurrence have not been found for four years and one month after the operation.<br> Case 2: A 43-year-old man was seen at the hospital because of a right lower abdominal pain. Recurrent aphthoid ulcer on the oral mucosa was noted. Findings of the abdominal ultrasonography were similar to pseudokidney sign. Ultrasonography was useful for making the diagnosis. Histological findings revealed non-specific ulcer in the colon. Any signs of the recurrence have not been found for 10 months after the operation.<br> Postoperative surveillance for detecting small and shallow ulcer must be performed.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 56(1), 122-125, 1995-01-25

    Japan Surgical Association

References:  14

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008511259
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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