title: Chronic Non-granulomatous ulcerative jejunoileitis assessed by wireless capsule endoscopy.
abstract: Chronic non-granulomatous jejunoileitis is a rare disease characterized by malabsorption, abdominal pain, and diarrhea that causes shallow ulcers in the small bowel. The etiology of chronic non-granulomatous jejunolieitis remains unknown. A 69-year-old man complained of abdominal pain and lower extremity edema. A 99m-Tc albumin scan showed increased radioactivity at the left upper quadrant, suggesting protein-losing enteropathy. A small bowel follow-through did not disclose any lesions. Wireless capsule endoscopy revealed several small bowel ulcers and strictures. A jejunoileal segmentectomy with end-to-end anastomosis was performed, and the histologic examination revealed non-granulomatous ulcers with focal villous atrophy. Ruling out all other possible diagnoses, we diagnosed our patient with chronic non-granulomatous ulcerative jejunoileitis. Postoperatively, the patient's abdominal pain and lower extremity edema improved, and the serum albumin normalized. This is the first case of chronic non-granulomatous ulcerative jejunoileitis localized by wireless capsule endoscopy and treated successfully with segment resection.
authors.affiliation: Departments of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Hyung Hun
authors.initials: HH
authors.lastname: Kim
authors.forename: You Sun
authors.initials: YS
authors.lastname: Kim
authors.forename: Kyung Sun
authors.initials: KS
authors.lastname: Ok
authors.forename: Soo Hyung
authors.initials: SH
authors.lastname: Ryu
authors.forename: Jung Hwan
authors.initials: JH
authors.lastname: Lee
authors.forename: Jeong Seop
authors.initials: JS
authors.lastname: Moon
authors.forename: Hyuck Sang
authors.initials: HS
authors.lastname: Lee
authors.forename: Hye Kyung
authors.initials: HK
authors.lastname: Lee
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D001284:Atrophy / Q000175:diagnosis / Q000209:etiology; D053704:Capsule Endoscopy; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D007079:Ileitis / Q000175:diagnosis* / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000473:pathology; D008286:Malabsorption Syndromes / Q000175:diagnosis / Q000473:pathology; D008297:Male; D015412:Mastectomy, Segmental; D011504:Protein-Losing Enteropathies / Q000175:diagnosis; D013668:Technetium Tc 99m Aggregated Albumin; D014456:Ulcer / Q000473:pathology
chemical_list: D013668:Technetium Tc 99m Aggregated Albumin