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Primary Jejunal Ulcer with Recurrence Following Resection: Report of a Case

Primary Jejunal Ulcer with Recurrence Following Resection: Report of a Case Abstract The term primary jejunal ulcer has been given to a group of cases in which a chronic circumscribed ulcer has been demonstrated in the jejunum. Morphologically, these lesions resemble peptic ulcer of the duodenum and they are of unknown etiology. There are some 50 authenticated instances recorded of the disease in the jejunum. Evert1 analyzed 130 cases of small intestinal solitary ulcers in 1948. This review included examples of nonspecific ulcers in both jejunum and ileum as the same disease. Other authors* hold the view that the entity in the upper jejunum is separate and distinct from the commoner ileal ulceration, where known specific break-downs of aggregate lymph patches occur. The case presented here is an unusual primary jejunal ulcer, discovered at operation, located close to the ligament of Treitz, and recurrent after resection on two occasions. Recorded instances of reoperation on these lesions are unusual; one has been References 1. References 2 and 3. 2. References 3 and 5. 3. References 2 and 9. 4. References 3, 9, and 10. 5. Evert, J. A.: Primary Nonspecific Ulcers of Small Intestine , Surgery 23:185, 1948. 6. Ravdin, I. S.: Primary Ulcer of the Jejunum , Ann. Surg. 85:873, 1927.Crossref 7. Eberling, W. W.: Primary Jejunal Ulcer , Ann. Surg. 97:857, 1933.Crossref 8. Oppenheimer, G. D.: Non-Specific Granulomatous Ulcer of the Jejunum , J. Mt. Sinai Hosp. 12:1039, 1945. 9. Fischer, H.: Primary Ulcer of Jejunum , Ann. Surg. 77:795, 1923. 10. Miller, T. G.: Intubation Studies on Human Small Intestine , Gastroenterology 3:141, 1944. 11. Kiefer, E. D.: Small Intestine: Review of Recent Literature , Gastroenterology 5:259, 1945. 12. Taylor, A. L.: Epithelial Heterotopias of the Alimentary Tract , J. Path. & Bact. 30:415, 1927. 13. Harris, J. H.: Primary Jejunal Ulcer , Radiology 26:497, 1936. 14. Dowdle, E.: Multiple Ulcers with Chronic Duodenal Dilatation , Ann. Surg. 116:348, 1942. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Primary Jejunal Ulcer with Recurrence Following Resection: Report of a Case

A.M.A. Archives Surgery , Volume 70 (3) – Mar 1, 1955

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270090098022
Publisher site
See Article on Publisher Site

Abstract

Abstract The term primary jejunal ulcer has been given to a group of cases in which a chronic circumscribed ulcer has been demonstrated in the jejunum. Morphologically, these lesions resemble peptic ulcer of the duodenum and they are of unknown etiology. There are some 50 authenticated instances recorded of the disease in the jejunum. Evert1 analyzed 130 cases of small intestinal solitary ulcers in 1948. This review included examples of nonspecific ulcers in both jejunum and ileum as the same disease. Other authors* hold the view that the entity in the upper jejunum is separate and distinct from the commoner ileal ulceration, where known specific break-downs of aggregate lymph patches occur. The case presented here is an unusual primary jejunal ulcer, discovered at operation, located close to the ligament of Treitz, and recurrent after resection on two occasions. Recorded instances of reoperation on these lesions are unusual; one has been References 1. References 2 and 3. 2. References 3 and 5. 3. References 2 and 9. 4. References 3, 9, and 10. 5. Evert, J. A.: Primary Nonspecific Ulcers of Small Intestine , Surgery 23:185, 1948. 6. Ravdin, I. S.: Primary Ulcer of the Jejunum , Ann. Surg. 85:873, 1927.Crossref 7. Eberling, W. W.: Primary Jejunal Ulcer , Ann. Surg. 97:857, 1933.Crossref 8. Oppenheimer, G. D.: Non-Specific Granulomatous Ulcer of the Jejunum , J. Mt. Sinai Hosp. 12:1039, 1945. 9. Fischer, H.: Primary Ulcer of Jejunum , Ann. Surg. 77:795, 1923. 10. Miller, T. G.: Intubation Studies on Human Small Intestine , Gastroenterology 3:141, 1944. 11. Kiefer, E. D.: Small Intestine: Review of Recent Literature , Gastroenterology 5:259, 1945. 12. Taylor, A. L.: Epithelial Heterotopias of the Alimentary Tract , J. Path. & Bact. 30:415, 1927. 13. Harris, J. H.: Primary Jejunal Ulcer , Radiology 26:497, 1936. 14. Dowdle, E.: Multiple Ulcers with Chronic Duodenal Dilatation , Ann. Surg. 116:348, 1942.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1955

References