52年前に細菌性赤痢の既往があり広範な大腸潰瘍瘢痕とmucosal bridgeを認めた1例

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A 69-year-old woman who has suffered from loss of appetite, constipation and weight loss. She had an experience of dysentery 52 years ago and no history of tuberculosis. Chest X-p showed normal appearance. Barium enema examination showed a narrowing in the rectum and cord like lesions in the hepatic flexure. Total colonoscopy revealed diffuse and multiple ulcer scars and mucosal bridges between normal mucosa in the entire colon. Histological findings were almost normal. It was reported that endoscopic findings dysentery may vary from erythema to marked superficial ulcerations and rarely deep ulcers. In this case, it was suspected that multiple colonic ulcers of dysentery 52 years ago became multiple ulcer scars and mucosal bridges in the entire colon.
Japan Gastroenterological Endoscopy Society Kanto Chapterの論文