Abstract
A 72-year-old man presented with vomiting and abdominal distension. Intestinal obstruction was diagnosed by abdominal computed tomography (CT), and he was admitted to our department as an emergency. He was treated conservatively and improved on day 3. Lower gastrointestinal endoscopy did not show a causative lesion for the intestinal obstruction, and he was discharged. Subsequently, every 2-3 months, he developed intestinal obstruction that resolved easily. The fourth episode, however, did not improve with conservative treatment. Abdominal CT showed that the origin of the obstruction was probably the terminal ileum, but the cause was unknown. Surgery was performed for the purposes of diagnosis and treatment. The origin of the stenosis was seen to be in the ileum, and partial small bowel resection was performed. The final diagnosis was intestinal obstruction due to non-specific intestinal ulceration. A case of non-specific intestinal ulceration causing repeated intestinal obstruction for which CT showed changes over time is reported, together with a short discussion of the literature.
