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November 1970, Vol 120, No. 5 >
Article | November 1970

Primary Nonspecific Ileal Ulcers in Children FREE

Jay L. Grosfeld; Medad Schiller, MD; Malvin Weinberger, MD; H. William Clatworthy, MD
[+] Author Affiliations

Received for publication June 18, 1970.

Reprint requests to Division of Pediatric Surgery, Children's Hospital, 561 S 17th St, Columbus, Ohio 43205 (Dr. Clatworthy).


Am J Dis Child. 1970;120(5):447-450. doi:10.1001/archpedi.1970.02100100111012.
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References
Comments

Three cases of primary nonspecific ileal ulceration in children who presented with a similar clinical picture of anemia, acute, and chronic rectal bleeding and exhibited varying types of pathological findings are reported. Although the etiology of these lesions remains obscure, the association of such ulcers with either massive painless rectal bleeding or with chronic hypochromic anemia and melena is emphasized. Exploratory laparotomy, including transillumination of the bowel, was necessary to identify these lesions which were then resected uneventfully and without recurrence.

REFERENCES

1 +
Guest JL:  Non-specific ulceration of the intestine . Surg Gynec Obstet 117:409-416, 1963;.
2 +
Litwin MS, Crane C:  Primary non-peptic ulcer of jejunum . Ann Surg 151:594-599, 1960;.
3 +
Evert JA, Black BM, Dockerty MB:  Primary non-specific ulcers of the small intestine . Surgery 23:185-200, 1948;.
4 +
Netterville RE, Hardy JD, Martin RS:  Small bowel hemorrhage . Ann Surg 167:949-956, 1968;.
5 +
Schultz LR, Reiner CB:  Circumferential ulcerations of the ileum . Amer J Dis Child 105:375-380, 1963;.
6 +
Teicher I, Arlen M, Muehlbauer M, et al:  The clinical-pathological spectrum of primary ulcers of the small intestine . Surg Gynec Obstet 116:196-202, 1963;.
7 +
Baker DR, Schrader WH, Hitchcock CR:  Small bowel ulceration apparently associated with thiazide and potassium therapy . JAMA 190:586-590, 1964;.
8 +
Campbell JR, Knapp RW:  Small bowel ulceration associated with thiazide and potassium therapy . Ann Surg 163:291-296, 1966;.
9 +
Barnett WO:  Primary non-specific ulceration of the small intestine . Amer J Surg 96:679-683, 1958;.
10 +
Zollinger RM, Ellison EH:  Primary peptic ulceration of jejunum associated with islet cell tumors of pancreas . Ann Surg 142:709-723, 1955;.
11 +
Berg P, Postel AH, Lee SL:  Perforation of the ileum in steroid treated systemic lupus erythematosis . Amer J Dig Dis 5:274-282, 1960;.
12 +
Ebeling WW:  Primary jejunal ulcer . Ann Surg 97:857-874, 1933;.
13 +
Shands WC, Gatling RR:  Circumferential small bowel ulcers . Ann Surg 165:894-899, 1967;.
14 +
Spencer R:  Gastrointestinal hemorrhage in infancy and childhood . Surgery 55:718-734, 1964;.
15 +
Sampsel JW, Barry FM:  Primary jejunal ulcer with recurrence following resection . Arch Surg 70:420-423, 1955;.

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References

1 +
Guest JL:  Non-specific ulceration of the intestine . Surg Gynec Obstet 117:409-416, 1963;.
2 +
Litwin MS, Crane C:  Primary non-peptic ulcer of jejunum . Ann Surg 151:594-599, 1960;.
3 +
Evert JA, Black BM, Dockerty MB:  Primary non-specific ulcers of the small intestine . Surgery 23:185-200, 1948;.
4 +
Netterville RE, Hardy JD, Martin RS:  Small bowel hemorrhage . Ann Surg 167:949-956, 1968;.
5 +
Schultz LR, Reiner CB:  Circumferential ulcerations of the ileum . Amer J Dis Child 105:375-380, 1963;.
6 +
Teicher I, Arlen M, Muehlbauer M, et al:  The clinical-pathological spectrum of primary ulcers of the small intestine . Surg Gynec Obstet 116:196-202, 1963;.
7 +
Baker DR, Schrader WH, Hitchcock CR:  Small bowel ulceration apparently associated with thiazide and potassium therapy . JAMA 190:586-590, 1964;.
8 +
Campbell JR, Knapp RW:  Small bowel ulceration associated with thiazide and potassium therapy . Ann Surg 163:291-296, 1966;.
9 +
Barnett WO:  Primary non-specific ulceration of the small intestine . Amer J Surg 96:679-683, 1958;.
10 +
Zollinger RM, Ellison EH:  Primary peptic ulceration of jejunum associated with islet cell tumors of pancreas . Ann Surg 142:709-723, 1955;.
11 +
Berg P, Postel AH, Lee SL:  Perforation of the ileum in steroid treated systemic lupus erythematosis . Amer J Dig Dis 5:274-282, 1960;.
12 +
Ebeling WW:  Primary jejunal ulcer . Ann Surg 97:857-874, 1933;.
13 +
Shands WC, Gatling RR:  Circumferential small bowel ulcers . Ann Surg 165:894-899, 1967;.
14 +
Spencer R:  Gastrointestinal hemorrhage in infancy and childhood . Surgery 55:718-734, 1964;.
15 +
Sampsel JW, Barry FM:  Primary jejunal ulcer with recurrence following resection . Arch Surg 70:420-423, 1955;.

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