A Case Report of Necrotic Enteritis with Multiple Ulcers in the Ileum Secondary to the Barium Ileus

Kazuo Tsuno, Miki Shibusawa, Tadashi Koike, Takahiro Sato*, Yukihiko Sato*

Department of Surgery, School of Medicine, Showa University
*Omiya Soai Hospital

Non-specific ulcers and necroses in the oral side of the intestinal tract found in cases with occlusive lesions from carcinoma of the colon are known as obstructive colitis and necrotic enteritis. Their generating mechanism, howerver, has not yet been fully explained. In this case, common factors contributing to generation of necrotic enteritis were considered to relate with multiple ulcerative lesions found in the ileum, although decompression with the ileus tube applied to the barium ileus might have produced a special situation in this case. Further, fewer caseswith necrotic enteritis in the small intestine have been reported. It was shown that the ileus tube therapy was effective in a case with defective obstruction of the ileocecal valve and could prevent perforation. However, possible risk of generating ileum ulcer in this therapy was also suggesed as it took about three weeks to eliminate barium administered.

Key words
multiple ulcer in the ileum, necrotic enteritis, barium ileus

Reprint requests
Kazuo Tsuno Department of Surgery, Showa University School of Medicine
1-5-8 Hatanodai, Shinagawa-ku, 142 JAPAN

Accepted
July 10, 1990

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