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Malignant histiocytosis of the intestine simulating Crohn's disease

Report of a case

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

We report a case of malignant histiocytosis of the intestine (MHI) in which clinical and small bowel barium examination led to an initial diagnosis of Crohn's disease. The patient's symptoms and radiologic features improved dramatically with steroid therapy, and the patient remained free of severe symptoms for five years; at this stage, massive rectal bleeding occurred and segmental ileal resection was performed. Pathology findings of the resected specimen revealed nonspecific ulceration of the ileum. The correct diagnosis, MHI, became apparent six months after surgical intervention, on the appearance of multiple lymphadenopathy.

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Author information

Authors and Affiliations

  1. Second Department of Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, Japan

    Youichirou Sakanoue M.D., Masato Kusunoki M.D., Yasutsugu Shoji M.D., Hidenori Yanagi M.D., Takehira Yamamura M.D. & Joji Utsunomiya M.D.

  2. Department of Pathology, Hyogo College of Medicine, Hyogo, Japan

    Takayuki Nishigami M.D.

Authors
  1. Youichirou Sakanoue M.D.
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  2. Masato Kusunoki M.D.
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  3. Yasutsugu Shoji M.D.
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  4. Hidenori Yanagi M.D.
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  5. Takayuki Nishigami M.D.
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  6. Takehira Yamamura M.D.
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  7. Joji Utsunomiya M.D.
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Cite this article

Sakanoue, Y., Kusunoki, M., Shoji, Y. et al. Malignant histiocytosis of the intestine simulating Crohn's disease. Dis Colon Rectum 35, 266–269 (1992). https://doi.org/10.1007/BF02051021

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  • DOI: https://doi.org/10.1007/BF02051021

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