Neither pronounced melena alone nor pain alone caused by lesions in the jejunum or ileum is too unusual. There are many such reports in the literature. However, the combination of these two symptoms presenting a picture simulating peptic ulcer but produced by pathologic conditions in the small intestine beyond the duodenum has not been emphasized in the literature. Articles by Dudley1 and Klingenstein2 are the only two we noted that stressed such a syndrome. Thus, it seems of value to report our experience with this combination of melena and postprandial pain due to lesions of the small intestine beyond the duodenum even though our cases have been few in number.
During the past two years we have encountered 3 such patients. Two of these patients had repeated hospital admissions, at which times they were treated medically for bleeding duodenal ulcer. The third patient had only one hospital admission
SEGAL HL, SCOTT WJM, WATSON JS. LESIONS OF SMALL INTESTINE PRODUCING MASSIVE HEMORRHAGE: WITH SYMPTOMS SIMULATING PEPTIC ULCER. JAMA. 1945;129(2):116–120. doi:10.1001/jama.1945.02860360018005
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