Abstract
A 63-year-old man, diagnosed as having simple ulcer of the small intestine and received medication and nutrition treatment for two months elsewhere, was transferred to the hospital because of acute abdominal distention and right lower abdominal pain. On admission, his abdomen distended, but he had no signs of peritonitis. A fist-sized tumor was palpated in the right lower quadrant. The laboratory data showed severe inflammation. Abdominal CT scan showed dilatation of the small intestine and wall thickening of the ileocecum. We determined intestinal obstruction caused by acute exacerbation of simple ulcer, and performed an ileocecal resection. Surgical findings showed 9 stenoses at the ileum, and then we excised the ileum about 60cm proximal to the Bauhin's valve. Histopathological studies revealed multiple punched out deep ulcers and non-specific acute inflammatory findings in the terminal ileum, and stenosis of the intestines caused by adhesions among these ulcers. Therefore, we diagnosed the case as intestinal obstruction due to acute exacerbation of multiple simple ulcer. The patient was discharged from the hospital on the 33rd day after the operation. He has been followed up for 6 months after the operation without evidence of recrudescence.
