Korean J Gastrointest Endosc.  1990 Nov;10(2):369-372.

A Case of Behcet's Disease with Ileal Ulcer Penetrated to the Duodenum

• Hwang YS
• Kim HJ
• Kim BH
• Lee JI
• Chang YW
• Chang R

Abstract

Behcets syndrome is a multisystem disorder presenting with recurrent oral and genital ulcers as well as uveitis, Gastrointestinal involvement associated with ileal ulcer is rare, but its outcome may by fatal. We have recently experienced a 43-year-old man who had Behcets syndrome with ileal ulcer penetrated to 3rd portion of the duodenum. He had been updergone right hemicolectomy and ileocolostomy for ileal inflammation of unknown etiology 20 years ago. Thereafter he had had relapsing oral and genital ulcers, and abdominal pain intermittently. From 15 days ago before visiting our hospital, he had severe abdominal pain and dark blood-colored stool. The colonofiberscopic finding revealed a large, deep penetrating ulcer and multiple shallow ulcers on the ileum. Deal segmental resection, gastro-jejunostomy and jejunal patch at 3rd portion of the duodenum were performed with marked improvement.

MeSH Terms

Abdominal Pain
Adult
Behcet Syndrome
Duodenum*
Humans
Ileum
Inflammation
Ulcer*
Uveitis