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July 1, 1933


Author Affiliations

From the Department of Surgery of the University of Chicago.

JAMA. 1933;101(1):20-22. doi:10.1001/jama.1933.02740260022006

My purpose in this communication is to describe a case of perforating ulcer of the ileum near the entrance of a Meckel's diverticulum. It is of interest because of the support it affords to the view that the principal etiologic agent in gastric and duodenal ulcer is the corrosive action of the gastric juice and because of the light it throws on the question of the mechanism of ulcer pain.

The lesion is relatively rare if one may judge from the few cases collected in the recent reviews of Aschner and Karelitz1 and of Lindau and Wulff.2 It is probable, however, that a great many other cases have occurred and have either not been recognized or not been reported in the literature. In the majority of reported cases in which an ulcer has been found in the ileum in the neighborhood of Meckel's diverticulum, a careful search has