Abstract
We report a case of multiple primary nonspecific ulcers of the small intestine. An 81-year-old woman visited our hospital because of pain and distension at the upper abdomen. She had no remarkable medical history. The laboratory data showed severe inflammation and anemia. The computed tomography revealed free air and elevation of the fat density surrounding the small intestine. These findings led to a diagnosis of perforative peritonitis. An emergency operation was therefore performed. At laparotomy, a punched-out perforation was observed in the small intestine at a point 180 cm on the distal side from Treitz' ligament. Furthermore, deformities due to ulcer of the small intestine were observed at 250 cm and 320 cm distal from the Treitz' ligament. Those were located on the opposite side of the attachment of the mesentery. Partial resections of the respective small intestine were performed. These lesions were diagnosed as primary nonspecific ulcers of the small intestine by the clinical features and the histopathological findings.
