Korean Journal of Gastrointestinal Endoscopy 1997;17(2): 205-210.
증례 : 식도 위장관 ; 장간막림프절염과 동반된 Yersinia enterocolitica 장염 2예의 대장내시경 소견 ( Case Reports : Esophagus , Stomach & Intestine ; Colonoscopic Findings of the Yersinia enterocolitica Enterocolitis Associated with Mesenteric Adenitis )
이종철, 고광철, 이풍렬, 김재준, 백승운, 이종균, 이규택, 이준혁 (Jong Chul Rhee, Kwang Cheol Koh, Poong Lyul Rhee, Jae Jun Kim, Seung Woon Paik, Jong Kyun Lee, Kyu Taek Lee and Joon Hyeok Lee)
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. (Korean J Gastrointest Endosc 17: 205-210, 1997)
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