Abstract
Recently we experienced two cases of Crohn's disease seen in young patients. In the first case, the patient visited the hospital because of melena and anemia. Based upon the findings of barium enema and a fiberscopic examination of the colon, the patient's disorder was diagnosed as Crohn's disease. An operation of right hemicolectomy including the resection of terminal ileum was done. A cobblestone appearance was observed in the removed specimen, and noncaseating epitheloid cell granuloma was demonstraed histologically.
In the second case, the patient visited the hospital complaining of lower abdominal mass with severe abdominal pain. An emergency laparotomy was carried out under the diagnosis of abscess, and it disclosed the thickened ileocecum en block, and an internal fistula was formed. We then suspected Crohn's disease of the tumor formation type with an internal fistula, and right hemicolectomy including the resection of terminal ileum was carried out. A cobblestone appearance was observed in the removed specimen and noncaseating epitheloid cell granuloma was demonstrated histologically.
