A Case of Idiopathic Segmental Ileal Dilatation with Acute Intestinal Bleeding.
- Author:
Nak Weon LEE
1
;
Woo Bong CHOI
;
Jae Rak SUNG
;
Tae Young LEE
;
San HWANG
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sang Heum PARK
;
Mun Ho LEE
;
Sun Joo KIM
;
Dae Jung KIM
Author Information
1. Department of Internal Medicine, Soon Chun Hyang University Medical College, ChunAn, Korea.
- Publication Type:Case Report
- Keywords:
Idiopathic segmental ileal dilatation;
Congenital abnormalities;
Melena;
Surgical excision
- MeSH:
Abdominal Pain;
Adult;
Anemia;
Barium;
Child;
Congenital Abnormalities;
Dilatation*;
Estrogens, Conjugated (USP);
Hemorrhage*;
Hernia, Umbilical;
Humans;
Infant;
Meckel Diverticulum;
Melena;
Middle Aged;
Muscle, Smooth;
Nervous System;
Phenobarbital;
Ulcer
- From:Korean Journal of Medicine
1998;54(1):118-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Idiopathic segmental ileal dilatation is a rare congenital condition in which the caliber of the bowel lumen increases locally without distal luminal obstruction or thickening of the muscle coats in involved lumen. Congenital abnormalities such as exomphalos, malrotation of the midgut, and Meckel's diverticulum are found frequently in the patients with segmental dilatation of the small bowel. Intermittent abdominal pain or anemia may be the symptoms of segmental dilatation of the small bowel in infants, children and occasionally adults. The radiologic finding in barium studies of the small bowel is characteristic axial segmental dilatation. The pathologic finding is nonspecific ulcer and mild congestion, but it has normal nervous system and smooth muscle bundle. There are no evidence of ischemic changes, inflammatory changes or neoplastic changes. The condition can be cured with surgical excision of the dilated segment. A case of idiopathic segmental ileal dilatation associated with melena and recurrent abdominal pain diagnosed by enteroclysis in a 47 years old man was presented with brief review of the literature.
