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February 1969

"Solitary" Nonspecific Ulcers of the Colon

Author Affiliations

Rochester, Minn
From the sections of surgical pathology (Dr. Dockerty), medicine (Dr. McGill), and surgery (Dr. Judd) Mayo Clinic and Mayo Foundation; and the section of Surgery, Mayo Graduate School of Medicine, University of Minnesota (Dr. Butsch), Rochester, Minn.

Arch Surg. 1969;98(2):171-174. doi:10.1001/archsurg.1969.01340080063011

Nonspecific and usually solitary ulcers of the colon occasionally have been recognized ever since they were first described in 1832 by Cruveilhier.1 Originally regarded as rare and interesting observations made at necropsy, these ulcers, in the more recent literature, have received attention in respect to clinical features, which can mimic such diverse conditions as acute appendicitis, diverticulitis, intestinal obstruction, and colonic carcinoma. Excellent collective reviews by Barron2 (1928) and by Yates and Clausen3 (1960) have brought to more than 100 the number of pathologically verified examples of the lesion. These reviews, with contributions by Feldman,4 Miller and Juhl,5 and others, should be consulted by those interested in the historical aspects, including the continuing difficulty of verification of the diagnosis by clinical, roentgenologic, and proctologic means.

This paper embodies an analysis of data obtained in a study of 22 patients who had nonspecific ulcers of the