All issues > Volume 47(12); 2004

Case Report

Korean J Pediatr. 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 JY Chung¹, Seong Jun SJ 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

Correspondence Ju Young JY 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.

Keywords :Nonspecific ulcer, Ileum, Massive bleeding, Behcet's disease