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MODERN RHEUMATOLOGY Vol.14 No.5
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| A case of systemic sclerosis with abdominal surgery for stenosis of the terminal ileum |
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Takafumi Chin1,2, Kou Mochizuki1, Hidetugu Murakami1 and Hidenori Tajima1 |
(1) Division of Surgery, Higashi Totsuka Memorial Hospital, 548-7 Shinano-cho, Totsuka-ku, Yokohama 244-0801, Japan
(2) Present address: Department of Plastic and Reconstructive Surgery, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan |
Received: 14 February 2004 Accepted: 07 June 2004 |
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Abstract |
| A 71-year-old woman was admitted to our hospital with prominent abdominal distention. The diagnosis of systemic sclerosis (SSc) was made based on the sclerosis on her face, forearms, fingers, and toes as well as pitting ulcers on fingers and toes. After conservative therapy, she presented more severe signs of peritoneal irritation. Abdominal surgery was performed, revealing stenosis at the terminal ileum. Pathologically, this region showed muscularis propia becoming fibrotic. She was discharged from the hospital, returning about once a month as an outpatient. |
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| Key words |
| Abdominal operation - Peritoneal irritation - Pseudo-obstruction - Systemic sclerosis (SSc) |
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