11歳女児に見られた回盲部の単純性潰瘍の1例

概要

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Simple ulcer of the cecum is a very rare condition especially in children. This is a report of chronic simple ulcer of the cecum seen in an eleven year old girl. The patient had noted postprandial abdominal pain. She had undergone appendectomy six months before visit to our hospital. However release of pain had not been achieved. A barium enema revealed a large ulcer in the cecum. For trial treatment, PAS, INH and streptomycin have been administered with some regression of the ulcer. It recurred soon while the treatment was continued. Ileocecal resection was performed six months after the first visit to our hospital. A sharply demarcated deep ulcer measuring 4cm×3cm was in the cecum. Pathological examination revealed no specific findings such as tuberculosis, Crohn's disease, parasites or malignant change. After the operation, she has gained 12kg of weight in a year. Simple ulcer of the cecum is a chronic disease and it may be the cause of retardation. It is often misdiagnosed as appendisitis. The recurrence rate seems rather low after the resection of the ulcer.
日本小児外科学会の論文
1982-12-20