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KMID : 0359019970170020205
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Korean Journal of Gastrointestinal Endoscopy
1997 Volume.17 No. 2 p.205 ~ p.210
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Colonoscopic Findings of the Yersinia enterocolitica Enterocolitis Associated with Mesenteric Adenitis
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이준혁
이풍렬/이종균/이규택/김재준/고광철/백승운/이종철
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Abstract
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Although there have been several reported case of enterocolitis caused by Yersinia enterocolitica, its colonoscopic findings have not been reported in Korea. We recently experienced two cases of Y. enterocolitica enterocolitis, where the
colonoscopic
examinations were performed. Two patients visited our hospital due to right lower quadrant pain. The thickened terminal ileum and right side colon with enlarged mesenteric nodes were observed on ultrasonography using graded compression method. Y.
enterocolitica was isolated from stool in both cases. The colonoscopy revealed nodular elevations, erosions, hyperemia, and edema on the terminal ileum and small hyperemic erosions or aphthoid ulcers on the colon, especially on the right side of
the
colon. In one of the cases, the aphthoid ulcers could be also seen on the sigmoid colon. Their clinical symptoms and signs improved 3~5 days after their visit without using antibiotics. We report these cases with a review of the relevant
literature.
(Korean J Gastrointest Endosc 17: 205~210, 1997)
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