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酒精性脂肪肝中的蜂窝织炎性肠炎

Phlegmonous enteritis in alcoholic fatty liver.

作者信息

Ito M, Hashiguchi J, Fujimoto C, Sekine I, Tsuji K

机构信息

Department of Pathology, Nagasaki University School of Medicine, Japan.

出版信息

Am J Gastroenterol. 1991 Oct;86(10):1535-8.

PMID:1928052
Abstract

Phlegmonous enteritis is a rare inflammatory bowel disease. A 52-yr-old man with a history of alcoholic abuse was admitted to the hospital for an acute abdomen and died of septicemia and its complications. Autopsy revealed phlegmonous inflammation of the ileum and severe fatty liver. Numerous Gram-negative rod bacilli were demonstrated in the ileal mucosa. Shortened villi and decreased lysozyme activity of Paneth cells in the small intestine might be results of chronic alcohol ingestion. The relationship between phlegmonous enteritis and alcoholic abuse was strongly suggested in this case.

摘要

蜂窝织炎性肠炎是一种罕见的炎症性肠病。一名有酗酒史的52岁男性因急腹症入院,死于败血症及其并发症。尸检发现回肠蜂窝织炎和严重脂肪肝。在回肠黏膜中发现大量革兰氏阴性杆菌。小肠绒毛缩短和潘氏细胞溶菌酶活性降低可能是长期饮酒的结果。该病例强烈提示蜂窝织炎性肠炎与酗酒之间的关系。

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