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World J Gastrointest Endosc. Jan 16, 2014; 6(1): 27-31
Published online Jan 16, 2014. doi: 10.4253/wjge.v6.i1.27
Published online Jan 16, 2014. doi: 10.4253/wjge.v6.i1.27
Confusing untypical intestinal Behcet’s disease: Skip ulcers with severe lower gastrointestinal hemorrhage
Zhen-Kai Wang, Hui Shi, Shao-Dong Wang, Jiong Liu, Miao-Fang Yang, Chan Liu, Heng Lu, Fang-Yu Wang, Department of Gastroenterology and Hepatology, Jinling Hospital, Nanjing 210002, Jiangsu Province, China
Wei-Ming Zhu, Department of General Surgery, Jinling Hospital, Nanjing 210002, Jiangsu Province, China
Author contributions: Wang ZK wrote the paper; Wang SD and Shi H designed the study and analyzed the case; Liu J, Yang MF, Lu H and Liu C helped with acquisition of data and diagnosis; Wang FY revised the paper; Zhu WM performed surgical intervention.
Correspondence to: Dr. Fang-Yu Wang, Department of Gastroenterology and Hepatology, Jinling Hospital, No. 305 Zhongshan East Road, Nanjing 210002, Jiangsu Province, China. wangfangyuand@163.com
Telephone: +86-25-52155853 Fax: +86-25-52155853
Received: September 10, 2013
Revised: November 27, 2013
Accepted: December 13, 2013
Published online: January 16, 2014
Processing time: 127 Days and 20 Hours
Revised: November 27, 2013
Accepted: December 13, 2013
Published online: January 16, 2014
Processing time: 127 Days and 20 Hours
Core Tip
Core tip: We present a patient with fever, abdominal pain and skip ulcers accompanied by lower gastrointestinal hemorrhage. Although the patient had undergone a number of examinations, no diagnosis was made. The patient underwent emergency surgery due to unmanageable lower gastrointestinal hemorrhage. Pathology of the resected bowel containing ulcer lesions indicated ectasia and blood vessel hyperplasia. The patient was diagnosed with incomplete-type intestinal Behcet’s disease (BD). BD can influence any region of the gastrointestinal tract. It is more difficult to diagnose when intestinal BD is accompanied by multiple ulcers in various positions throughout the entire digestive tract.