Korean J Gastrointest Endosc.  1997 Apr;17(2):205-210.

Esophagus, Stomach & Intestine; Colonoscopic Findings of the Yersinia enterocolitica Enterocolitis Associated with Mesenteric Adenitis

• Rhee JC
• Koh KC
• Rhee PL
• Kim JJ
• Paik SW
• Lee JK
• Lee KT
• Lee JH

Abstract

Although there have been several reported cases of enterocolitis caused by Yersinia enterocolitica, its colonoscopic findings have not been reported in Korea. We recently experienced two cases of Y. enterocolitica enterocolitis, where the colonoscopic examinations were performed. Two patients visited our hospital due to right lower quadrant pain. The thickened terminal ileum and right side colon with enlarged mesenteric nodes were observed on ultrasonography using graded compression method. Y. enterocolitica was isolated from stool in both cases, The colonascopy revealed nodular elevations, erosion., hyperemia, and edema on the terminal ileum and small hyperemic erosions or aphthoid ulcers on the colon, especially on the right side of the colon. In one of the cases, the aphthoid ulcers could be also seen on the sigmoid colon. Their clinical symptoms and signs improved 3-5 days after their visit without using antibiotics. We report these cases with a review of the relevant literature.

Keyword

Yersinia enterocolitica; enterocolitis; colonoscopy; Korea

MeSH Terms

Anti-Bacterial Agents
Colon
Colon, Sigmoid
Colonoscopy
Edema
Enterocolitis*
Esophagus*
Humans
Hyperemia
Ileum
Intestines*
Korea
Lymphadenitis*
Stomach*
Ulcer
Ultrasonography
Yemen*
Yersinia enterocolitica*
Yersinia*
Anti-Bacterial Agents