Two Cases of Nonspecific Multiple Ulcers of the Small Intestine Causing Ileus

Takuya Ando, Masahiko Yamazaki, Shun-ichi Fukao, Koichiro Nakano, Hiroki Kurehara, Takeyasu Katada, Sumito Funabiki, Sadao Nakano and Masahiro Ikegami*

Department of Surgery, Nakano Gastrointestinal Hospital
Department of Pathology, Jikei University School of Medicine*

We report two cases of nonspecific multiple ulcers of the small intestine causing ileus. Case 1: A 26-year-old man admitted for repeated symptoms of ileus was found x-ray examination of the small intestine to have multiple ulcers with fold convergency and circular stenoses in the ileum. Ilectomy and stricturoplasty were done based on a diagnosis of ileus due to ulcers of the small intestine. Case 2: A 31-year-old man admitted for repeated symptoms of ileus and anemia was found retrograde enterography to have irregular ulcers and stenoses in the terminal ileum. Ilectomy was done based on a diagnosis of ileus due to ulcers of the small intestine. In both cases, resected specimens showed circular ulcers and ulcer scars forming stenoses. Histological findings showed most ulcers were Ul-II, and fibrosis was prominent in stenoses. Both cases were diagnosised as nonspecific multiple ulcers of the small intestine causing ileus.

Key words
nonspecific multiple ulcers of the small intestine, ileus

Reprint requests
Takuya Ando Department of Surgery, Nakano Gastrointestinal Hospital
1-12 Kanayama, Komashin-cho, Toyota, 473-0926 JAPAN

Accepted
June 25, 2003

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