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ID 54077
Title Alternative
Behçetʼs disease complicated by ileocecal and esophageal perforation
Author
Tsukumo, Yuta
Kawamoto, Kazuyuki
Takagi, Kosei
Chin, Kai
Matsuba, Yuri
Nagahisa, Yoshio
Okabe, Michio
Shirakawa, Yasuhiro
Itoh, Tadashi
Fujiwara, Toshiyoshi
Abstract
 A 36-year-old Japanese man known to have incomplete Behçet’s disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection.
Keywords
ベーチェット病(Behçet’s disease)
食道(esophagus)
回盲部(ileocecal)
穿孔(perforation)
手術(surgery)
Note
症例報告(Case Reports)
Published Date
2016-04-01
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume128
Issue
issue1
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
27
End Page
32
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Related Url
http://www.okayama-u.ac.jp/user/oma/
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language
日本語
OAI-PMH Set
岡山大学
Copyright Holders
Copyright (c) 2016 岡山医学会
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publisher
Refereed
True
DOI
Eprints Journal Name
joma