Behçet's disease complicated by ileocecal and esophageal perforation
| Autor: | Tadashi Itoh, Kai Chin, Yuri Matsuba, Kazuyuki Kawamoto, Kosei Takagi, Michio Okabe, Yasuhiro Shirakawa, Yoshio Nagahisa, Yuta Tsukumo, Toshiyoshi Fujiwara |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030203 arthritis & rheumatology
Gastrointestinal bleeding medicine.medical_specialty Abdominal pain business.industry medicine.disease High fever digestive system diseases Empyema Surgery 03 medical and health sciences Oral aphthous ulcers Dissection 0302 clinical medicine medicine Abdominal Esophagus Sex organ 030212 general & internal medicine medicine.symptom business |
| Zdroj: | Okayama Igakkai Zasshi (Journal of Okayama Medical Association). 128:27-32 |
| ISSN: | 1882-4528 0030-1558 |
| DOI: | 10.4044/joma.128.27 |
| Popis: | A 36-year-old Japanese man known to have incomplete Behcet’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. |
| Databáze: | OpenAIRE |
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