A Case of Crohn's Disease of the Ileum Presenting Colon Stenosis and Ureter Stenosis.

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A39-year-old male was admitted to our hospital with the symptomes of abdominalfullness and thin stool. Barium enema demonstrated stricture of the sigmoid-colon, 5cmin length. Endoscopic examination revealed circumferencial stricture covered withedematous mucosa at the same portion of the colon, but no cancerous tissue was obtainedwith endoscopic biopsy. Pyeloureterography demonstrated a left hydronephrosis associated with severe stenosis of lower portion of the left ureter. Surgery was indicated with asuspect of malignant abdominal tumor invaded to the colon and retroperitoneum. Onsurgery, the terminal ileum was severely adhered to the sigmoid-colon and to the retroperitoneum, and the tumor resection with partial resection of the colon was performed.Pathological diagnosis revealed Crohn's disease of the ileum. This paper presents a case of the Crohn's disease of the ileum associated with stenosisof the colon and ureter, because of its rarity in the literature.
社団法人日本消化器内視鏡学会の論文