Abstract
1. 1. A case of regional ileitis is presented which in spite of extensive pathologic involvement of the distal ileum, serosa of the cecum, ascending and part of the transverse colon had run a virtually asymtomatic course. 2. 2. The preoperative diagnosis was possible mainly through the presence of a large nodular mass in the right side extending upward to the diaphragm and downward to the pelvis. 3. 3. After adequate preoperative care the entire mass with the affected parts of the large and small intestine was removed in toto and the operation was completed by ileocolostomy and enterostomy. 4. 4. The convalescence was stormy from the very beginning. In spite of the usual measures and the administration of penicillin in liberal doses the patient succumbed fourteen days after the operation from right lobar pneumonia, atelectasis and toxemia. 5. 5. The problem of treating the affection by more conservative operative procedures is weighed and hope is expressed that chemotherapy may yet afford us means of combating this pathologic entity without resort to surgery.
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