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Typical and atypical terminal ileitis

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Two cases of terminal ileitis are reported, a typical and an atypical one. In both cases pre-operative diagnosis was made.

In the atypical case a 36 hour delay was demonstrated in the terminal ileum, due to the complicating effect of adhesions around the ileocecal juncture.

Both cases recovered after a successful resection of the diseased area.

Failure to recognize the ailment early, is partly due to a faulty or unsatisfactory “routine” X-ray technic.

Early diagnosis is urged because a correct diagnosis followed by appropriate surgery offers an unusually good prognosis, with a permanent cure, while a failure to diagnose the case means chronic marasmus, with perhaps a fatal outcome.

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Correspondence to A. Galambos M.D..

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Galambos, A., Mittelmann, W. Typical and atypical terminal ileitis. American Journal of Digestive Diseases and Nutrition 2, 442–447 (1935). https://doi.org/10.1007/BF03000883

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  • Terminal Ileum
  • Fistulous Tract
  • Actinomycosis
  • Ileocecal Juncture
  • Terminal Ileitis