A Case of Behcet's Disease Involving Stomach and Entire Small Intestine Tereminal Ileum Perforation.
- Author:
Jin Kyung KANG
1
;
In Suh PARK
;
Jae Bock CHUNG
;
Won Ho KIM
;
Byung Hyun CHOE
;
Yeong Suk YOON
;
Chun Kyun LEE
;
Beom Su KIM
;
Jong Yup BAE
Author Information
1. Department of Internal Medicine, Yonsei University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Behcet's disease;
Gastrointestinal ulcer
- MeSH:
Aged;
Behcet Syndrome;
Colonoscopy;
Colostomy;
Duodenal Ulcer;
Duodenum;
Endoscopy, Digestive System;
Hemorrhage;
Humans;
Ileum*;
Intestine, Small*;
Jejunum;
Male;
Melena;
Mucous Membrane;
Oral Ulcer;
Pyloric Antrum;
Stomach*;
Stomatitis, Aphthous;
Ulcer;
Vagotomy, Truncal
- From:Korean Journal of Gastrointestinal Endoscopy
1997;17(4):541-547
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Behcet's syndrome is a multisystemic, chronic inflammatory disease with triad of oral ulcer, genital ulcer and inflammatory ocular lesion. Intestinal Behcet's disease accounts for 1-2% of Behc'ets disease and most commonly affects the ileocecal region as ulcerations. A 70-year-old male patient was admitted to this hospital because of melena for 5 days. There was a history of recurrent aphthous stomatitis and genital ulcer. Colonoscopy showed multiple, irregularly, rnarginated, ellipsoid ulcers surrounded by hyperemic mucosa with vessel exposure on terminal ileum. Esophagogastroduodenoscopy showed multiple, round punched out ulcers on antrum and duodenal bulb. He was taken the near total small bowel resection, right hemicolectomy and ileotransverse colostomy because of hemorrhage and terminal ileal perforation. Three days after operation, melena reappeared and esopbagogastoduodenascopy revealed bleeding from duodenal ulcers and impending perforation of antral ulcer. He was reoperated with antrectomy, truncal vagotomy and gastroduodenostomy. Resected small bowel was 510 cm in length and there were multiple small round transverse ulcers surrounded by hyperemic edematous elevated rnucosa. Three 'punch-out ulcers' were also found on resected gastric antrum. So, we report a case of gastrointestinal Behcet's disease involving stomach, duodenum, jejunum and ileum with terminal ileum perforation.
