November 1970

Primary Nonspecific Ileal Ulcers in Children

Author Affiliations

Columbus, Ohio
From the Division of Pediatric Surgery, Department of Surgery, the Ohio State University College of Medicine and Children's Hospital, Columbus, Ohio. Dr. Grosfeld is now with the Department of Surgery, New York University School of Medicine, New York.

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

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.