2007 Volume 27 Issue 4 Pages 655-658
A 76-year-old man visited a local doctor because of constipation and abdominal pain. He was admitted to our hospital under a diagnosis of acute appendicitis. He complained of a diffuse lower abdominal pain with developing pain and muscle guarding in the right lower abdominal area. He was diagnosed as having local peritonitis with wall thickening in the ileum and sigmoid colon, base on the results of a computed tomography examination. An emergency operation was performed on the same day. During the surgery, a perforation was observed at a mesenteric site of the ileum, about 6 cm on the oral side from the terminal ileum. An ileo-cecal resection was performed. Since a histopathological examination revealed only non specific inflammatory findings and no signs of Behcet's disease, he was diagnosed as having a solitary simple ulcer of the ileum. Simple ulcer of the small intestine is relatively rare. We report a case and review the literature.
