Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 382-386, 2010.
Article
in English
| WPRIM
| ID: wpr-51783
ABSTRACT
Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient's abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Protein-Losing Enteropathies
/
Atrophy
/
Ulcer
/
Mastectomy, Segmental
/
Abdominal Pain
/
Technetium Tc 99m Aggregated Albumin
/
Chronic Disease
/
Diagnosis, Differential
/
Capsule Endoscopy
/
Ileitis
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Gastroenterology
Year:
2010
Type:
Article
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