Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy.
10.4166/kjg.2010.56.6.382
- Author:
Hyung Hun KIM
1
;
You Sun KIM
;
Kyung Sun OK
;
Soo Hyung RYU
;
Jung Hwan LEE
;
Jeong Seop MOON
;
Hyuck Sang LEE
;
Hye Kyung LEE
Author Information
1. Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. yousunk69@korea.com
- Publication Type:Case Report
- Keywords:
Ileitis, Ulcerative;
Hypoalbuminemia;
Malabsorption syndromes;
Capsule endoscopy
- MeSH:
Abdominal Pain/etiology;
Aged;
Atrophy/diagnosis/etiology;
Capsule Endoscopy;
Chronic Disease;
Diagnosis, Differential;
Humans;
Ileitis/*diagnosis/pathology;
Intestine, Small/pathology;
Jejunal Diseases/*diagnosis/pathology;
Malabsorption Syndromes/diagnosis/pathology;
Male;
Mastectomy, Segmental;
Protein-Losing Enteropathies/diagnosis;
Technetium Tc 99m Aggregated Albumin/diagnostic use;
Ulcer/pathology
- From:The Korean Journal of Gastroenterology
2010;56(6):382-386
- CountryRepublic of Korea
- Language:English
-
Abstract:
Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient's abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
