Two cases of adenocarcinoma of the bowel occurring in association with Crohn's disease are described. The first affected the terminal ileum and the second the terminal ileum and caecum. The 28 cases so far described in the world literature are briefly reviewed. It is suggested that adenocarcinoma of the small bowel may be a complication of longstanding Crohn's disease. Eleven patients developed...

Xanthogranulomatous inflammation is a rare pathological condition most frequently detected in the kidney and gallbladder. Reported herein is a case of xanthogranulomatous inflammation in a 51-year-old male presenting as a mass-forming lesion in the terminal ileum with mucosal ulceration. Diagnostic laparoscopy followed by ileocecectomy was performed due to intra-operative suspicion of carcinoma...

CONTEXT For the diagnosis of the diseases which affect the terminal ileum, the colonoscopy allows macroscopic evaluation and the performing of biopsies. Studies with criteria for the endoscopic and histological characterization of this segment are scarce and there are still some doubts about the need of biopsies in patients with normal ileoscopy. OBJECTIVE Study the terminal ileum of patients...

The subhepatic position of the cecum and appendix is a result of embryological reasons. Subhepatic appendicitis can cause diagnostic dilemmas. During the dissection of an adult male cadaver aged approximately 70 years, the subhepatic position of the cecum and appendix was noted. The appendix made a "U"-shaped bend and its tip was located in the paracolic position. The cecum had appendices epipl...

A 66-year-old woman was operated on in 1988 for an endometrial adenocarcinoma, after which she received adjuvant radiotherapy. The patient presented with 6month, progressive iron-deficiency anemia. A complete endoscopic study (esophago-gastrosco-duodenoscopy and ileocolonoscopy) was performed; mucosal edema with superficial whitish spots in the terminal ileum (fig. 1A) was observed. Nonspecific...

A previously healthy 74-year-old Japanese female was hospitalized with fever and high C-reactive protein. She developed palatal herpangina-like aphthous ulcers, localized intestinal wall thickening, terminal ileum ulcers, and an erythematous acneiform rash; thus Behçet's disease-like illness was suspected. Significant peripheral blood acute monocytosis developed during her hospitalization and a...

M oday, Sptem er 6, 2016 METHODS: For pharyngoesophageal reconstruction in a vessel-depleted neck, we have reliably transferred a pedicled ileocolon flap (terminal ileum, cecum, ascending colon and proximal transverse colon) based on the left ascending colic artery. After transection of the segment, the cecum reaches the oropharynx for an end-to-end anastomosis. The distal end of the proximal t...

Over the past 15 years, we have been using diagnostic laparoscopy as a tool in those selected cases which do not respond to conservative treatment. In a large proportion of these patients (211/436), we have identified adhesions of the terminal ileum to the lateral abdominal wall similar to the peritoneal folds found in a case of paracecal hernia (Figure 1). We have also found these adhesions in...

Henoch-Schonlein purpura (HSP) is a leukocytoclastic vasculitis mediated by IgA deposition that occurs mostly in children. This report describes a young woman with HSP, who presented with cutaneous and gastrointestinal manifestations of this disease. Endoscopy revealed deep annular ulcerations in the terminal ileum and ileocecal valve regions, as well as diffused erythema throughout the gastroi...