Abstract
A 39-year-old man was admitted to the hospital because of ileus in December, 1997. Upper gastrointestinal endoscopy and colonofiberscopy showed no abnormal findings. X-ray examination of the small intestine showed ten ulcers with fold convergency, multiple focal rigidities, multiple stenoses in the ileum. Several clinical findings and typical x-ray findings indicated so-called “nonspecific multiple ulcers of the small intestine” and, therefore, oral administration of Mesalazine was started. X-ray examination of the small intestine showed eight ulcer scar formations in July, 1998. In June, 1999, he was readmitted to the hospital because of ileus due to a 2-month withdrawal of Mesalazine. X-ray examination of the small intestine showed a stenosis with pseudo-diverticular formation. Although the medical treatment for the nonspecific multiple ulcers of the small intestine had been ineffective, our case is thought to be a very rare case which was successfully treated by oral administration of Mesalazine alone.
