KMID : 0614620100560060382
|
|
Korean Journal of Gastroenterology 2010 Volume.56 No. 6 p.382 ~ p.386
|
|
Chronic Non-granulomatous Ulcerative Jejunoileitis Assessed by Wireless Capsule Endoscopy
|
|
Kim Hyung-Hun
Kim You-Sun Ok Kyung-Sun Ryu Soo-Hyung Lee Jung-Hwan Moon Jeong-Seop Lee Hyuck-Sang Lee Hye-Kyung
|
|
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.
|
|
KEYWORD
|
|
Ileitis, Ulcerative, Hypoalbuminemia, Malabsorption syndromes, Capsule endoscopy
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|