Abstract
We present a case of solitary nonspecific ileal ulcer found by coloileoscopy in a patient with previously assumed irritable bowel syndrome. Follow-up endoscopies two weeks after initiation of short-term prednisone therapy, and again four months. Later, demonstrated rapid and persistent healing. This observation raises the question of whether or not primary ileal ulcers are indeed as rare as previously assumed when only surgical and autopsy findings were taken into consideration. Also, the natural history of this clinical entity, in general, could be somewhat more benign than suggested by those ulcers in which complications make surgery necessary, since these cases may not adequately reflect the full clinical spectrum of nonspecific small-bowel ulcers.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Boydstun JS Jr, Gaffey TA, Bartholomew LG. Clinicopathologic study of nonspecific ulcers of the small intestine. Dig Dis Sci 1981;26:911–6.
Shah MJ. Primary non-specific ulcer of ileum presenting with massive rectal haemorrhage. Br Med J 1968;3:474.
Grosfeld JL, Schiller M, Weinberger M, Clatworthy HW Jr. Primary nonspecific ileal ulcers in children. Am J Dis Child 1970;120:447–50.
Sunaryo FP, Boyle JT, Ziegler MM, Heyman S. Primary nonspecific ileal ulceration as a cause of massive rectal bleeding. Pediatrics 1981;68:247–50.
Segal I, Nouri MA, Hamilton DG, et al. Foreign body ileitis. S Afr Med J 1980;58:421–2.
Bayless TM, Kapelowitz RF, Shelley WM, Ballinger WF, Hendrix TR. Intestinal ulceration: a complication of celiac disease. N Engl J Med 1967;276:996–1002.
Karz S, Guth PH. Chronic ulcerative jejunoileitis. Am J Gastroenterol 1971;56:61–7.
Modigliani R, Poitras P, Galian A, et al. Chronic non-specific ulcerative duodenojejunoileitis: report of four cases. Gut 1979; 20:318–28.
Baer AN, Bayless TM, Yardley JH. Intestinal ulceration and malabsorption syndromes. Gastroenterology 1980;79:754–65.
Kasahara Y, Tanaka S, Nishino M, Umemura H, Shiraha S, Kuyama T. Intestinal involvement in Behcet's disease: review of 136 surgical cases in the Japanese literature. Dis Colon Rectum 1981;24:103–6.
Bokhari SR, Resnik AM, Nemir P Jr. Diverticulitis of the terminal ileum: report of a case and review of the literature. Dis Colon Rectum 1982;25:660–3.
Briggs FLR, Moore JP. Heterotopic gastric mucosa of the small bowel with perforated ulcer. Am Surg 1979;45:413–7.
Lawrason FD, Alpert E, Mohr FL, McMahon FG. Ulcerative-obstructive lesions of the small intestine. JAMA 1965;191:105–8.
Evert JA, Black BM, Dockerty MB. Primary nonspecific ulcers of the small intestine. Surgery 1948;23:185–200.
Watson MR. Primary nonspecific ulceration of the small bowel. Arch Surg 1963;87:600–3.
Grasmann M. Zur Frage des Ulcus simplex des Dünndarmes. ARch Klin Chir 1925;136:449–78.
Brown PW, Pemberton JdeJ. Solitary ulcer of the ileum and ulcer of Meckel's diverticulum. Ann Intern Med 1935;9:1684–1702.
Barnett WO. Primary non-specific ulceration of the small intestine. Am J Surg 1958;96:679–83.
Strodel WE, Eckhauser FE, Simmons JL. Primary ulceration of the ileum. Dis Colon Rectum 1981;24:183–6.
Mann NS, Wolter CF, Mann SK, Kadian RS. Colonic involvement in chronic ulcerative non-granulomatous ileo-jejunitis. Am J Proctol Gastroenterol Colon Rectal Surg 1980;31:17–9.
Jeffries GH, Steinberg H, Sleisenger MH. Chronic ulcerative (nongranulomatous) jejunitis. Am J Med 1968;44:47–59.
Author information
Authors and Affiliations
About this article
Cite this article
Börsch, G., Jahnke, A., Bergbauer, M. et al. Diagnosis by coloileoscopy in a patient with previously assumed irritable bowel syndrome. Dis Colon Rectum 26, 732–735 (1983). https://doi.org/10.1007/BF02554985
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02554985