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September 1964

Regional Enteritis Of the Duodenum: Report of a Case and Review of the Literature

Author Affiliations

Clinical Instructor, Cora and Webb Mading Department of Surgery, Baylor University College of Medicine, Acting Chief, Surgical Service, Veterans Administration Hospital, and Active Staff, Surgical Service, Methodist Hospital (Dr. Law); Formerly Clinical Instructor, Department of Medicine, Baylor University College of Medicine, and Chief, Gastroenterology Section, Veterans Administration Hospital, present address: 1616 S Carolina St, Harlingen, Tex (Dr. Searle); Assistant Professor, Department of Radiology, Baylor University College of Medicine, and Chief, Radiology Service, Veterans Administration Hospital (Dr. Barton); Clinical Associate Professor, Department of Pathology, Baylor University College of; Medicine, Assistant Chief, Laboratory Service, Veterans Administration Hospital (Dr. Erickson).; From the Cora and Webb Mading Department of Surgery, the Departments of Medicine, Radiology, and Pathology, Baylor University College of Medicine, and the Veterans Administration Hospital.

Arch Surg. 1964;89(3):562-569. doi:10.1001/archsurg.1964.01320030152027

Regional enteritis, a granulomatous inflammatory disease of the bowel and its adnexae, most frequently affects the distal small intestine but may involve any portion of the gastrointestinal tract. Isolated involvement of the duodenum is one of the least frequently encountered manifestations of this protean disease.

The clinical course of the patient with regional enteritis may vary widely, being determined by the localization in the intestinal tract, the extent of involvement, the activity of the inflammatory process, and by the presence of enteric or extra-enteric complications. The more common symptoms of obscure abdominal pain, various types of diarrhea, the "appendicitis syndrome," cryptic gastrointestinal bleeding, and partial or complete small bowel obstruction suggest regional enteritis to most physicians. Not so easily recognized are the less frequently encountered manifestations such as fever of undetermined origin, nutritional deficits secondary to malabsorption, disturbances of endocrine function and of growth-development, anemia of either hypochromic microcytic or

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