Korean J Pediatr.  2004 Dec;47(12):1344-1346.

A Case of Nonspecific Ulcer of the Terminal Ileum Associated with Massive Bleeding

• Chung JY
• Kim SJ

Abstract

Nonspecific ulcer of the small bowel is rare in children. Nonspecific ulcer of the colon or small bowel is clinically and pathologically recognized as a disease related to intestinal Behcet's disease. Differentiation of nonspecific ulcers from Behcet's ulcer by pathologic findings is often impossible and the clinical course is similar. A 13-year-old boy was admitted due to massive lower gastrointestinal bleeding with an intractable tongue ulcer. Colonoscopic findings revealed a well demarcated deep ulcer on the terminal ileum. The patient was treated with steroids and sulfasalazine and the response was favorable. We report a case of nonspecific ulcer of terminal ileum with massive rectal bleeding in a 13-year-old boy.

Keyword

Nonspecific ulcer; Ileum; Massive bleeding; Behcet's disease

MeSH Terms

Adolescent
Child
Colon
Hemorrhage*
Humans
Ileum*
Male
Steroids
Sulfasalazine
Tongue
Ulcer*
Steroids
Sulfasalazine