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

Korean Journal of Pediatrics 2004;47(12):1344-1346.
Published online December 15, 2004.
A Case of Nonspecific Ulcer of the Terminal Ileum Associated with Massive Bleeding
Ju Young Chung1, Seong Jun Kim2
1Department of Pediatrics, SanggyePaik Hospital, Inje University College of Medicine, Seoul, Korea
2Department of Internal Medicine, SanggyePaik Hospital, Inje University College of Medicine, Seoul, Korea
대량 출혈을 동반한 회장 말단의 비특이적 궤양 1례
정주영1, 김성준2
1인제대학교 의과대학 상계백병원 소아과
2인제대학교 의과대학 상계백병원 내과
Correspondence: 
Ju Young Chung, Email: pedchung@sanggyepaik.ac.kr
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.
Key Words: Nonspecific ulcer, Ileum, Massive bleeding, Behcet's disease


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