内視鏡的ならびにX線学的に経過を観察しえたYersinia Enterocolitica腸炎の1  [in Japanese] ACUTE TERMINAL ILEITIS CAUSED BY YERSINIA ENTEROCOLITICA OBSERVED CONSECUTIVELY BY ENDOSCOPY AND RADIOLOGICAL EXAMINATION  [in Japanese]

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Abstract

患者は35歳,男性で,右下腹部痛を訴え当科を受診.注腸X線検査で回盲弁の腫大と回腸末端の多発性隆起を認めた.大腸内視鏡検査で盲腸のアフタ様病変,回盲弁の発赤と腫脹ならびに回腸末端の中心陥凹を有する多発性隆起と単発性の表面が粗造な卵円形の扁平隆起を認めた.便の細菌学的検索で病原性細菌は陰性であったが,Yersinia enterocolitica(以下,Y.enterocolitica)の抗体価が上昇しており(0-3抗原40倍,0-5b抗原80倍,0-9抗原160倍),Y.enterocnlitica腸炎と診断した.臨床症状と検査所見が軽微であったため,乳酸菌製剤のみで経過を観察した.以後,回腸末端と回盲弁の病変は徐々に減少,消失し,血清抗体価の正常化と臨床症状の消失を認めた.

A 35-year-old man was admitted to our hospital with the complaints of right Towerabdominal pain and diarrhea. Colonofiberscopic and X ray examination revealed a swollenileocecal valve, multiple polypoid lesions with central depression and flat elevation witherosions in the terminal ileum. Bacteriological and histological examination showed nospecific findings. We made a diagnosis of Yersinia enterocolitica, because of significantelevation of antibody titer to Yersinia enterocolitica (0-3:40, 0-5b:80, 0-9:160).Colonofiberscopic and Xray examination showed significant improvement of lesions in aileocecal valve and terminal ileum by only lactobacillin. bases with consecutive endo-scopical and radiological observation of Yersinia enterocolitica have been rarely reported, we descussed its characteristic of the endoscopic appearances by the Japanese literaturereviewed.

Journal

  • GASTROENTEROLOGICAL ENDOSCOPY

    GASTROENTEROLOGICAL ENDOSCOPY 38(3), 898-905, 1996-03-20

    Japan Gastroenterological Endoscopy Society

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