A CASE OF UNCLASSIFIED NON-SPECIFIC ULCER OF THE SMALL INTESTINE

Abstract

The diagnosis of unclassified non-specific ulcers of the small intestine was made clinically and pathologically for a 54-year-old man who was admitted to the hospital because of melena and general malaise. Clinical evaluation was carried out as follows. None of gastrof iberscopy, colonof iberscopy, abdominal angiography and ^99mTC human serum albumin scintigraphy could detect the bleeding point at the first event. However, ^99m Tc HSA scintigraphy showed the hot spot clearly at the terminal ileum when the recurrent episode occurred. A small round shaped ulcer and a longitudinal ulcer were seen at the corresponding position, using the intraoperative endoscopy. Based on the pathohistological findings of the resected specimen, these ulcers were refered to Ul-II, with sharp margin and slight inf iltratiion of lymphocytes, without forming any Granuloma or abnormal vascular constraction was not found in the submucosal tissue. He is will without further episode after the resection of fifty centimeters of the region including these ulcers.