台灣外科醫學會雜誌

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篇名	Suspected Behc¸et’s disease presenting with enterocutaneous fistula formation and lower gastrointestinal bleeding after appendectomy
作者	Chao-Yu Chen, Shih-Wen Chang, Chung-Hung Tsai
卷期/出版年月	47卷2期 (2014/4)
頁次	66-70
摘要	Behc¸et’s disease (BD) is a form of vasculitis which is believed to be an autoimmune disease. The disease can be categorized as “intestinal Behc¸et’s disease” with its predominant gastrointestinal symptoms and intestinal ulcerations. If a patient first presents with complicated BD, it is difficult to diagnose because the gastrointestinal symptoms are nonspecific. We report a case of a 22-year-old man with no previous medical history who presented with intermittent right lower quadrant pain 2 days after an appendectomy. Intra-abdominal abscess formation was suspected first and treated medically. Then, the disease progressed to produce an enterocutaneous fistula and lower gastrointestinal bleeding. The diagnosis of BD was made 2 months after the patient’s first visit.
關鍵詞	appendectomy;appendicocutaneous fistula;enterocutaneous fistula;gastrointestinal bleeding; intestinal Behcet’s disease
分類	Case Report