GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE WITH NON-SPECIFIC ULCER OF THE SMALL INTESTINE DEVELOPED DURING LONG TERM FOLLOW-UP OF CHRONIC LYMPHOCYTIC LEUKEMIA
Hiroya TAKIUCHIOsamu SAITOHHogen TEIKiyoshi ASHIDAIchiro HIRATAHiroshi OHYABUTakashi KAGEYAMASaburo OHSHIBAKunio OKAJIMA
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1989 Volume 31 Issue 12 Pages 3304-3311

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Abstract
A 52year-old female, who has been followed for the last 6 years under the diagnosis of CLL, was admitted because of nausea and vomiting. Double contrast barium radiography of the small intestine showed a solitary ulceration and stenosis near the Treitz's ligament. Small intestinal endoscopy revealed a shallow ulceration at the most strictured region near the Treitz's ligament. Tuberculosis of the small intestine was suspected. Because antituberculous therapy and hyperalimentation were not effective, the partial resection of the stenotic portion of the small intestine was done. The microscopic findings of the resected jejunum was mostly consistent of nonspecific ulcer of the small intestine. However, the histological changes similar to aberrant pancreas were partially noted in the resected specimen. There are many causes in the pathogenesis of the nonspecific ulcer of the small intestine and we studied the cause of them in this case.
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© Japan Gastroenterological Endoscopy Society
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