PEDIATRICS Vol. 68 No. 2 August 1981, pp. 247-250
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Primary Nonspecific Ileal Ulceration as a Cause of Massive Rectal Bleeding

Francis P. Sunaryo MD1, John T. Boyle MD1, Moritz M. Ziegler MD1, and Sydney Heyman MD1

1 Divisions of Gastroenterology and Nutrition, Pediatric Surgery, and Nuclear Medicine, The Children's Hospital of Philadelphia; and Department of Pediatrics, University of Pennsylvania, Philadelphia

A case of primary ulceration of the ileum in the absence of a Meckel's diverticulum or ectopic gastric tissue is described. Although this condition is infrequently observed, it should be considered as a potential cause of massive rectal bleeding, iron deficiency anemia of unknown cause, perforation, or partial small bowel obstruction. The diagnosis is normally made at surgery. Segmental resection with end-to-end anastomosis is the treatment of choice. Recurrence following surgery is rare.

Submitted on June 11, 1980
Accepted on August 15, 1980