A Case of Simple Ulcer was associated with HLA B51 Positive in Elderly Female Patient

• HIROHASHI Yoshimi

  Department of Surgery, Takeo City Hospital

• OHTSUKA Yorikazu

  Department of Surgery, Takeo City Hospital

• HIDAKA Katsuhiko

  Department of Surgery, Takeo City Hospital

Bibliographic Information

Other Title

• 高齢女性に初発した HLA B51 陽性単純性潰瘍の1例

Abstract

A 79-year-old woman admitted with suspected bowel obstruction had a past history of oral aphta 2 months earlier. After temporary remission, symptoms recurred, necessitating surgery. Operative findings showed marked wall thickness and redness of the terminal ileum, necessitating ileocecal resection. The resected specimen showed a large punched-out ulcer on the ileocecal valve and 3 small ulcers on the terminal ileum. Histologically, the ulcer was nonspecific and reached the subserosal layer. In this case, it was very difficult to differentiate between Behget's disease and simple ulcer due to the presence of oral aphta and positive HLA B51. Finally, a diagnosis of simple ulcer was made bared on the absence of other specific signs of Behget's disease except for oral aphta and positive HLA B51. Simple ulcer should thus be kept in mind as a differential diagnosis, even in an elderly patient.

Journal

• The Japanese journal of gastroenterological surgery

  The Japanese journal of gastroenterological surgery 36 (8), 1216-1220, 2003-08-01

  The Japanese Society of Gastroenterological Surgery

Keywords

• simple ulcer
• HLA B51
• elderly patient

Details

• CRID: 1573387451735934592
• NII Article ID: 110001294855
• NII Book ID: AN00192066
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/2004037661
• Text Lang: ja
• Data Source:
  • CiNii Articles