A CASE OF CHRONIC HEMORRHAGIC MULTIPLE ULCERS OF THE ILEUM

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 60; no. 8; pp. 2118 - 2121
• Main Authors: KISHIMOTO, Hirofumi, ABE, Youichi, ANSAI, Yutaka, YAMADA, Akira, TSUKADA, Kazuhiro
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 1999
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.60.2118

An 83-year-old woman was referred to the hospital because of abdominal pain and vomiting. She had undergone a gastrectomy for gastric ulcer at the age of 42 years, and had been admitted to our hospital for ileus, iron deficiencyt anemia and hypoproteinemia at the age of 79 years. The time she was admitted with a diagnosis of ileus, and a long tube was inserted for decompression of the intestine. On the second hospital day, she complained of severe abdominal pain and an abdominal X-ray film revealed free air. Under a diagnosis of pan-peritonitis, an emergency operation was performed. Little adhesion and dirty ascites were seen in the peritoneal cavity. There was a perforation in the saccular dilated ileum, and there was neither adhesion nor strangulation around the perforated intestine. Resection of the saccular dilated ileum, with end to end anastomosis was performed. The dilated part of the resected specimen was filled with foods, and multiple irregular shaped shallow ulcers with a perforation were seen on its mucosa. The histological diagnosis was chronic hemorrhagic multiple ulcers of the small intestine. We present the case of the disease which can cause obtruction or perforation of the small intestine, though it is rare.