タイトル(別表記) Behçetʼs disease complicated by ileocecal and esophageal perforation
フルテキストURL 128_27.pdf
著者 九十九 悠太| 河本 和幸| 高木 弘誠| 陳 開| 松葉 優里| 長久 吉雄| 岡部 道雄| 白川 靖博| 伊藤 雅| 藤原 俊義|
抄録  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.
キーワード ベーチェット病(Behçet’s disease) 食道(esophagus) 回盲部(ileocecal) 穿孔(perforation) 手術(surgery)
出版物タイトル 岡山医学会雑誌
発行日 2016-04-01
128巻
1号
開始ページ 27
終了ページ 32
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.128.27
言語 Japanese
著作権者 Copyright (c) 2016 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.128.27
NAID 130005149603