Title Alternative Behçetʼs disease complicated by ileocecal and esophageal perforation
FullText URL 128_27.pdf
Author Tsukumo, Yuta| Kawamoto, Kazuyuki| Takagi, Kosei| Chin, Kai| Matsuba, Yuri| Nagahisa, Yoshio| Okabe, Michio| Shirakawa, Yasuhiro| Itoh, Tadashi| Fujiwara, Toshiyoshi|
Abstract  A 36-year-old Japanese man known to have incomplete Behçet’s disease (oral aphthous ulcers, genital ulcers, skin lesions, and esophageal and ileocecal ulcers) was admitted to our hospital in January 2011 for abdominal pain. We administered corticosteroids and immunosuppressants. Two months later, we performed an ileocecal resection to control gastrointestinal bleeding from the ileocecal ulcers. High fever persisted after this surgery, and upper gastrointestinal endoscopy demonstrated ulcer penetration between the lower and abdominal esophagus. Eighteen days after the initial ileocecal resection, we performed a lower esophagus resection, gastric tube reconstruction and enterostomy, during which we confirmed a 5-mm-dia. perforated site at the posterior wall of the abdominal esophagus. Postoperative anastomotic leakage and empyema occurred, but they were relieved by thoracic drainage and empyema dissection.
Keywords ベーチェット病(Behçet’s disease) 食道(esophagus) 回盲部(ileocecal) 穿孔(perforation) 手術(surgery)
Publication Title 岡山医学会雑誌
Published Date 2016-04-01
Volume volume128
Issue issue1
Start Page 27
End Page 32
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.128.27
language 日本語
Copyright Holders Copyright (c) 2016 岡山医学会
File Version publisher
DOI 10.4044/joma.128.27
NAID 130005149603