GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
A CASE OF SIMPLE ULCER IN THE SMALL INTESTINE DETECTED BY INTRAOPERATIVE ENDOSCOPY
Akihiko TACHIBANANaoto FUKUDAShigeru SAKAITatsuo YAMAKAWAJunzo NAGAYAMAKunihiko KIRATakashi TSURUYASueshige WAKISAKATakematsu AKIYAMA
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2000 Volume 42 Issue 12 Pages 2279-2283

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Abstract
A case of non-specific simple ulcer in the small intestine was reported. Fifty-eight-year-old woman was admited to our hospital with symptoms including massive melena and anemia. She had a past history of alcoholic liver dysfunction that had been treated for two years. Bleeding source was not found out on gastroscopy, colonoscopy and other examinations. Surgery was performed under the diagnosis of ulcer of the small intestine. Intraoperative endoscopic examination showed a small ulcer at the ileum 60 cm proximal to the ileocecal valve, and partial resection of the ileum was carried out. Pathological findings of the resected specimen revealed the ulcer with sharp margin, 5 × 3 mm in size, and its depth was Ul-II. Slight infiltration of inflammatory cells were histologically noted. No specific findings suggesting other disease were noted and diagnosis of non-specific simple ulcer in the small intestine was made.
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© Japan Gastroenterological Endoscopy Society
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