Non-specific ulceration of the cæcum

Russell, Ian

doi:10.1002/bjs.18004921312

Cited by 7 publications

(4 citation statements)

References 16 publications

(9 reference statements)

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“…Acute ulcers may be solitary and punched out, or niultiple and superficial, all being in close proximity to the ileo-caecal valve. Milder lesions are similar to our third case, and may resolve completely (Russell, 1961 ) or with stricture formation (Wilkie, 1937). However, as the diagnosis Cali only be made at operation or at autopsy, the frequency of healing is unknown.…”

Section: Natural Historysupporting

confidence: 78%

“…incidence of non-specific ulceration of the caecum is difficult to determine, because of the great variation in nomenclature which has resulted from its hitherto unknown ztiology. In addition to "non-specific ulceration of the caecum" (Russell, 1961 ; Benninger ct alii, 1971 ), other terms used include "simple, nonspecific ulcer" (Cameron, 1939 ; Barlow, I94I), "simple penetrating ulcer" (Rosser, I949), "non-specific benign ulcer" ( Lebow and Zabin, 1961 ) , "simple caecal ulceration" ( McKelvie, 1961 ) , "acute solitary ulcer'' (Parker and Serjeant, 1957) and "acute primary (idiopathic) caecitis" (Emmett, 1954). Several authors use "phlegmonous caecitis" to describe a suppurative inflammation of the caecal wall leading to a circumscribed or diffuse inflammatory thickening of the wall (Spivack and B U S C~, 1943;Tagart, 1953;Horne, 1954;Baar, 1955).…”

Section: Case 3-amentioning

confidence: 99%

“…Other complications are rare. Overt hzniorrhage has beeii reported twice ( McKelvie, 1961 ;Russell, 1961), and intussusceptioii twice (Rlum, 1947; McKelvie, 1961 ) .…”

Section: Natural Historymentioning

confidence: 99%

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Localized Ulceration of the Caecum due to Microcirculatory Thrombosis: A New Concept of Non‐Specific Ulceration of the Caecum

Hardie

Nicoll

1973

Australian and New Zealand Journal of Surgery

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Uncommon lesions of the caecum are of interest because of the diagnostic and therapeutic difficulties associated with them. This paper presents the case reports of three patients with such a lesion. The pathology found was typical of that seen in the condition formerly described as “non‐specific ulceration of the caecum”, but the additional finding of micro‐circulatory thrombosis suggests the probable pathogenesis and leads to a new concept of the lesion, thus allowing a more definitive name to be applied to it. A review of the literature is presented, the natural history discussed, and a plan of management formulated. Because of the similarity of the clinical features to those of acute appendicitis, the correct diagnosis is rarely made before operation, but even at operation differentiation from more serious pathology may be difficult. The treatment of choice is immediate wide resection.

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Section: Natural Historysupporting

confidence: 78%

Section: Case 3-amentioning

confidence: 99%

See 1 more Smart Citation

Localized Ulceration of the Caecum due to Microcirculatory Thrombosis: A New Concept of Non‐Specific Ulceration of the Caecum

Hardie

Nicoll

1973

Australian and New Zealand Journal of Surgery

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“…Other theories put forth regarding the causal factors contributing to the development of NSCUs includes a change in the pH of the digestive contents in the ileocecal region affecting the colonic mucosa, overuse of drugs including nonsteroidal anti-inflammatory drugs, oral contraceptives, and corticosteroids, colonic trauma caused by foreign body ingestion, and infections and toxins [4,6-8].…”

Section: Discussionmentioning

confidence: 99%