Korean J Med.  1998 Jan;54(1):118-123.

A Case of Idiopathic Segmental Ileal Dilatation with Acute Intestinal Bleeding

• Lee NW
• Choi WB
• Sung JR
• Lee TY
• Hwang S
• Chung IK
• Kim HS
• Park SH
• Lee MH
• Kim SJ
• Kim DJ

Abstract

Idiopathic segmental ileal dilatation is a rare congenital condition in which the caliber of the bowel lumen increases locally without distal luminal obstruction or thickening of the muscle coats in involved lumen. Congenital abnormalities such as exomphalos, malrotation of the midgut, and Meckel's diverticulum are found frequently in the patients with segmental dilatation of the small bowel. Intermittent abdominal pain or anemia may be the symptoms of segmental dilatation of the small bowel in infants, children and occasionally adults. The radiologic finding in barium studies of the small bowel is characteristic axial segmental dilatation. The pathologic finding is nonspecific ulcer and mild congestion, but it has normal nervous system and smooth muscle bundle. There are no evidence of ischemic changes, inflammatory changes or neoplastic changes. The condition can be cured with surgical excision of the dilated segment. A case of idiopathic segmental ileal dilatation associated with melena and recurrent abdominal pain diagnosed by enteroclysis in a 47 years old man was presented with brief review of the literature.

Keyword

Idiopathic segmental ileal dilatation; Congenital abnormalities; Melena; Surgical excision

MeSH Terms

Abdominal Pain
Adult
Anemia
Barium
Child
Congenital Abnormalities
Dilatation*
Estrogens, Conjugated (USP)
Hemorrhage*
Hernia, Umbilical
Humans
Infant
Meckel Diverticulum
Melena
Middle Aged
Muscle, Smooth
Nervous System
Phenobarbital
Ulcer
Barium
Estrogens, Conjugated (USP)
Phenobarbital