Adenocarcinoma of the ileocecal valve is rare. It's clinical manifestations are non-specific such as intestinal intussusception, obstruction and right lower abdominal discomfort according to type of cancer. Particularly infiltrative type carcinoma of the ileocecal valve may be easily misdiagnosed as inflammatory bowel disease by radiological imagings and clinical symptoms. We experienced one case of adenocarcinoma of the ileocecal valve mimiking inflammatory bowel disease in radiological features. Colonoscopic findings also could not differentiate malignancy with chronic inflammatory condition. We report a case of adenocarcinoma of the ileocecal valve, which endoscopic findings mimic chronic inflammatory disease, with a review of literature.
Adenocarcinoma* ; Ileocecal Valve* ; Inflammatory Bowel Diseases* ; Intussusception

Colitis cystica profunda is a benign disorder in which a mucous cyst is located in the submucosal layer of, primarily, the pelvic colon and rectum. Radiologic reports of the condition are rare. We report the radiological findings of a case of colitis cystica profunda arising from the proximal ascending colon near the ileocecal valve, and causing intussusception. We also review the literature.
Colitis* ; Colon ; Colon, Ascending ; Ileocecal Valve ; Intussusception* ; Rectum

Augmentation cystoplasty using bowel is effective method for the functional enlargement of bladder capacity in contracted bladder due to various causes. Prevention of vesicoureteral reflux after augmentation cystoplasty is still controversial but generally accepted that prevention of reflux is essential for good long term result. Therefore, antireflux augmentation cystoplasty including the use of ileocecal valve and hemi-Kock intussuscepted ileal nipple valve has been used recently for this purpose. Herein, we report the result of 3 cases of ileocecal cystoplasty and 6 cases of hemi-Kock ileocystoplasty. Hemi-Kock ileocystoplasty is better than ileocecal cystoplasty in a viewpoint of reflux prevention and continence, but complication is more common and serious in hemi-Kock ileocystoplasty than ileocecal cystoplasty. It is considered that azotemia is not contraindication for these procedures, and renal function deterioration has not been observed postoperatively.
Azotemia ; Ileocecal Valve ; Nipples ; Urinary Bladder ; Vesico-Ureteral Reflux

A Foreign body in the gastrointestinal tract is a common clinical problem seen in all age groups and rarely produces symptoms. However, the foreign bodies should be removed if they produce symptoms or remain in the gastrointestinal tract. A 31-year-old man with schizophrenia ingested a 20-cm-sized toothbrush. It passed through the ileocecal valve and penetrated the hepatic flexure of the colon and liver. It was removed successfully by using a surgical procedure. We report this unusual case of colonic perforation by an ingested toothbrush and review the related literature.
Adult ; Colon* ; Foreign Bodies ; Gastrointestinal Tract ; Humans ; Ileocecal Valve ; Liver ; Schizophrenia

Orofacial granulomatosis (OFG) is a term used to describe swelling of the orofacial area, mainly in the lips, secondary to an underlying granulomatous inflammatory process. OFG has been reported in association with systemic conditions such as sarcoidosis and Crohn's disease (CD). OFG may precede gastrointestinal disease, such as CD, by several years and may be the only obvious focus of the disease. Herein, we report a patient with OFG and non-symptomatic ulcerations of the ileocecal valve. The patient received intralesional triamcinolone injections every 2 weeks. After 6 weeks, all oral lesions showed marked improvement. The favourable treatment response of this patient suggests that intralesional triamcinolone can be used as a treatment option for patients with CD that have oral lesions. In addition, patients presenting with OFG should be carefully evaluated for gastrointestinal signs and symptoms.
Crohn Disease ; Gastrointestinal Diseases ; Granulomatosis, Orofacial ; Humans ; Ileocecal Valve ; Lip ; Sarcoidosis ; Triamcinolone ; Ulcer

We report a case in which CT scanning revealed lipohyperplasia of the ileocecal (IC) valve and cecum with acute inflammation and ulceration mimicking malignant neoplasm. At unenhanced CT, lesion attenuation was lower than that of back muscle, and at contrast-enhanced CT, the lesion was seen as a lobulated polypoid mass with inhomogeneous enhancement, pericecal fat infiltration, and pericecal lymphadenopathy. Although these findings mimick those of malignant neoplasm, the typical location of the mass, involving the IC valve, and the low attenuation observed at unenhanced CT, can help distinguish it from other masses.
Back Muscles ; Cecum ; Ileocecal Valve* ; Inflammation ; Lymphatic Diseases ; Tomography, X-Ray Computed ; Ulcer

Lipohyperplasia is a lesion characterized by diffuse infiltration of lipocyte in the submucosal layer, which was formally known as 'lipomatosis' or 'lipomatous hyperplasia'. Lipohyperplasia is distinguished from lipoma, the former is not encapsulated and has normal mucosa. Most of lipohyperplasia developed at the ileocecal valve, showed clinical manifestation of abdominal pain, rectal bleeding, intestinal intussuception and intestinal obstruction. We experienced a case of a 45-year-old woman who had polypoid lipohyperplasia of the stomach. Her chief complaint was recurrent epigastric discomfort. Endoscopic finding was a 10 9 mm sized polypoid lesion in the anterior wall of lower body of the stomach. Endoscopic polypectomy was performed and the histological examination revealed infiltration of lipocyte in the submucosal layer.
Abdominal Pain ; Adipocytes ; Female ; Hemorrhage ; Humans ; Ileocecal Valve ; Intestinal Obstruction ; Lipoma ; Middle Aged ; Mucous Membrane ; Stomach*

Three cases of intestinal lipoma near the ileocecal valve are described. In patients of cecal and ileocecal valve lipoma, they had right lower quadrant abdominal pain secondary to partial intestinal obstruction. In rarely developed segmental lipomatosis of the ileum, the patient had right abdominal mass and pain to fecal impaction of the diverticula. Diagnosis may be made by an abnormal roentgenographic pattern and confirmed by colonoscopy. Surgical removal of the affected segment results in cure in symptomatic patients.
Abdominal Pain ; Colonoscopy ; Diagnosis ; Diverticulum ; Fecal Impaction ; Humans ; Ileocecal Valve ; Ileum ; Intestinal Obstruction ; Lipoma* ; Lipomatosis

BACKGROUND/AIMS: Capsule endoscope (CE) is a new method of investigating entire small bowel (SB). Some reported that current battery time was sufficient for observing entire SB, but others reported negatively. The aims of this study were to determine the factors influencing the entire SB transit rate. METHODS: From Sep. 2002 to Aug. 2003, CE was performed in 197 cases and they were devided into complete/incomplete transit according to getting ileocecal valve image within battery time. sixteen cases were excluded due to anatomical abnormality or artificial procedure. one hundred eighty one cases were analyzed with multiple logistic regression. RESULTS: The complete SB transit rate was 63.5%. Mean battery time was 7 and 1/2 hrs. Gastric transit time (GTT) was significantly shorter in complete group than in incomplete group but the other factors (age, sex, preparation, symptom) were not significant. Mean small bowel transit time in complete group was 4 and 1/2 hrs and ranged from 1 to 8 hrs. In incomplete group (66 cases), 2 cases were reached to distal jejunum, 11 cases to proximal ileum, and the other 53 cases to distal ileum. CONCLUSIONS: Complete SB transit rate of CE was 63.5% in the 181 cases under current battery time. GTT was the only significant factor influencing gastrointestinal transit rate of CE.
Capsule Endoscopes ; Capsule Endoscopy* ; Gastrointestinal Transit* ; Ileocecal Valve ; Ileum ; Jejunum ; Logistic Models

BACKGROUND/AIMS: The diagnostic value of terminal ileum (TI) biopsies during colonoscopy remains controversial. This study assessed the clinical characteristics of terminal ileal lesions during colonoscopy to find the affecting factors for the specific investigations in addition to TI biopsies. METHODS: Thirty-seven patients (male to female ratio of 1.6, mean age 42.2+/-12.2 years, range 20-68 years) who had undergone colonoscopy with biopsies of TI at Dongguk University International Hospital from September 2005 to December 2007 were retrospectively studied. We analyzed the characteristics of patients, endoscopic and histopathologic findings, followed by multivariate analysis of those significant variables. RESULTS: Ulcerative lesions were most frequently found in 17 cases (45.9%) and multiple lesions were observed in eight cases (21.6%). Aphthoid shape was evident in 19 cases (51.4%). Eight cases (21.6%) were combined with ileocecal valve (ICV) lesion. On histopathologic examination, nonspecific inflammation was evident in 19 cases (51.4%). The diagnostic yield of TI biopsies was 5.4%. Presence of ICV lesion (p=0.004) and multiple lesions (p=0.027) were associated with clinically significant TI lesion. By multivariate analysis, only ICV lesion was statistically significant (Odds ratio 8.3: 95% confidence interval 1.3-54.1, p=0.026). CONCLUSIONS: Not all patients who undergo colonoscopy require intubation of TI. However, a careful examination of ICV could be useful to determine whether intubation of TI would be necessary or not.
Biopsy ; Colonoscopy ; Female ; Humans ; Ileocecal Valve ; Ileum ; Inflammation ; Intubation ; Multivariate Analysis ; Retrospective Studies ; Stomatitis, Aphthous ; Ulcer