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May 12, 1962

Regional Enteritis Following Acute Trauma to the Abdomen

Author Affiliations

Rochester, Minn.

JAMA. 1962;180(6):491-492. doi:10.1001/jama.1962.03050190000014a

SINCE 1932, when Crohn and associates first described 14 cases of surgically proved, benign, nonspecific granulomas exhibiting necrotizing and cicatrizing inflammation confined to the terminal portion of the ileum, the cause or causes of regional enteritis have remained obscure. Entities from dietary habits to trauma have been incriminated as etiologic factors. Trauma as the cause of regional enteritis has been denied at times, but experience has shown that under certain well-defined circumstances it may act as a definite causative factor or may aggravate preexisting latent enteritis. The rarity of the relationship of regional enteritis to trauma is evidenced by the fact that only 17 adequately documented cases have been reported in the literature through July, 1961.

The purpose of this communication is to report a case of regional enteritis associated with an aneurysm of the superior mesenteric artery following severe trauma to the lower part of the thorax and to