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June 7, 1971

Seat Belt Injury and Regional Enteritis

Author Affiliations

Durham, NC

JAMA. 1971;216(10):1648. doi:10.1001/jama.1971.03180360094026

To the Editor.—  Taylor's communication (215:1154, 1971) raises some disturbing questions about semantics in the already obscure definition of regional enteritis. Although the patient described may well have developed ischemic disease of the terminal ileum following blunt trauma of the abdomen, it seems unfortunate to use the term "regional enteritis" in this connection. Dr. Taylor might have been better advised to follow the lead of Fagin et al who recently described a case of ischemic enteritis mimicking regional enteritis.1Crohn has already published a warning regarding the attribution of regional enteritis to preceding trauma, although he too cites instances in which true traumatic ileitis seems to have occurred.2 Certainly the etiological connection suggested by Taylor could have considerable impact in future civil litigation by patients who claim compensation for regional enteritis developing after possible innocuous trauma.Furthermore, the comment that negative prior history and "normal results of