Abstract
One case of primary jejunal ulcer is reported. A 68 years old man with the complaint of abdominal tumor and pain was admitted 32 days after the first episode of crampy pain. Due to the large defined child head sued tumor with tenderness at the epigastrium, the gastric roentgenological findings and positive laboratorical results of urine sugar and of
glucose tolerance test, the case was suspected by us to be a pancreatic cyst.
At the laparotomy 60 days after admission, in the jejunum approximately 45cm below the ligament of Treitz, a perforated ulcer of 2 × 0.5cm was found which was located between the mesocolon and a mass of intestinal loops.
Although the postoperative course was uneventful, a progressive gangrenous change of the left leg necessitated an operation. Two days after amputation sudden death accured.
The autopsy revealed a generalized arteriosclerosis particularly in kidneys, cerebrum and heart. As Letwin etc. reported, it was considered that our case was one of a jejunal ulcer caused by sclerotic changes of gastric arterioles.
