A Case of Behcet's Disease with Multiple Ileocecal Ulcerations / 대한소화기내시경학회지

ABSTRACT

Behcet's disease is a chronic inflammatory symptom complex consisting of recurrent aphthous sttomatitis, nonspectific ulcerative lesions of the genital area, and uveitis. Skin, cardiovascular, arthritic, central nerve system and gastrointestinal involvement have been reported in association with the major triad. Intestinal involvement in Behcets disease most commonly affects the ileocecal region as ulceration. Intestinal ulcers give rise to abdominal pain, perforation, melena, and tumor in order of frequency. A 36-year-old female patient was addmitted to this hospital because of right upper quadrent abdominal pain and mass. There was a history of recurrent aphthous stomatitis and vaginal ulcers. Barium enema showed that the terminal ileum was irregularly indented with multiple nodular filling defects and the proximal ascending colon around ileocecal valve had several round shaped filling defects. Colonoscopy showed that the terminal ileum was irregularly marginated geographic ulcer, surrounded with hyperemic edematous mucosa, extended to ileoeecal valve. And the proximal ascending colon around ileocecal valve revealed several discreted whitish patched ulcers with apparently normal intervening mucosa. She was operated with right hemicolectomy and end to end ileotransverse colostomy under the impression of inttinal-Behcets disease. About 1 year after operation, right upper quardrent abdominal pain was reappeared. Colonoscopy was performed and revealed a recurred ulcer at anastomotic site. We report a case of Behcet's disease with multiple ileocecal ulcers, recurred after operation.