@article{oai:nagasaki-u.repo.nii.ac.jp:00020226, author = {Wada, Fumiko and Murase, Kunihiko and Yoshio, Yoko and Onita, Ken and Ikeda, Koki and Furusu, Hisashi and Yamao, Takushi and Isomoto, Hajime and Takeshima, Fuminao and Omagari, Katsuhisa and Mizuta, Yohei and Nakagoe, Toru and Murata, Ikuo and Tomonaga, Michio and Kohno, Shigeru}, issue = {3-4}, journal = {Acta medica Nagasakiensia}, month = {Dec}, note = {A 29-yr-old Japanese man presented with left lumbar pain. Laboratory tests were suggestive of an inflammatory disease but serological, bacteriological, and markers of auto immunity were all negative. Gastroduodenal endoscopy showed slight mucosal congestion of the gastric antrum but the duodenum showed normal villi. Colonoscopy showed no abnormalities, and small bowel enema and jejunoscopy were normal. Abdominal ultrasonography and CT scans showed wall thickening of the small intestine. At laparoscopically-assisted wedge biopsy of jejunum, focal edema was noted mainly affecting the midjejunum together with enlarged mesenteric nodes. Histopathological examination of the surgical biopsy material showed focal neutrophilic infiltration in the mucosa and submucosa without granuloma. The lymph node showed nonspecific changes with no granulomas. Although the etiology could not be identified, the patient responded well to clarythromycin treatment., Acta medica Nagasakiensia. 2000, 45(3-4), p.53-56}, pages = {53--56}, title = {Chronic Nonspecific Jejunitis - A -}, volume = {45}, year = {2000} }