1981 Volume 34 Issue 6 Pages 669-675
A 31-years old woman was admitted on October, 1979. She had aphthous stomatitis, skin eruption, ulcer of the vagina. She developed progressive abdominal pain and massive melena occurring abruptly two month before admission.
Barium enema revealed multiple ulcers with covergence of mucosal folds in the ileum.
Colonoscopically, deep ulcers were observed in the terminal ileum. It was covered with yellow fur and had the convergence of mucosal folds.
Intestinal Behcet disease was suspected, but verious medication was ineffective.
The patient underwent ileocaecal resection and the resected specimen demonstrated multiple sharply-demarcated ulcers with undermined margins. Histologically, it was a non-specific ulcer.
Two months later, she had occasionally developed abdominal pain and melena. Multiple punched-out ulcers were observed on the oral side of the anastomosis in the ileum by barium enema and endoscopical examination.
For recurrent intestinal Behcet disease, the patient underwent medication (SASP, prednisolone). Therapeutic response to that drugs was satisfactory and ulcers healed colonoscopically. Currently she is doing well without any obvious symptoms of intestinal Behcet disease.
