MULTIPLE, RECURRENT ILEAL PERFORATIONS- CROHNS DISEASE
Abstract
Abstract : Crohns disease is a chronic, transmural,
granulomatous, non-caseating inflammation of the gastrointestinal
tract characterised by alternating periods of relapse
and remission. Though it can cause a myriad of GI pathologies,
free perforation of the intestine is rare. We report a case
of a 55 year old female patient who presented with features of
subacute adhesive intestinal obstruction and went in for perforated
peritonitis during her stay in the hospital. Emergency
exploratory laparotomy revealed multiple, distal ileal perforations,
the cause of which was later identified to be Crohns
disease.
Keyword :Multiple, recurrent distal ileal perforations, Crohns
disease
Full Text:
PDFReferences
Tomaszczyk M, Zwemer DA, Surgical associates of west
Michigan, USA: Int Surg. 2005 Jul-Aug;90(3 Suppl):S45-7
Werbin N, Haddad R, Greenberg R, Karin E, Skornick Y, Dept. of
surgery, Tel Aviv Sourasky medical centre, Tel Aviv, Israel: Isr Med
Assoc J. 2003 Mar;5(3):175-7
Voeller G, Britt L, Dept. of surgery, University of Tennesse,
Memphis: Am Surg. 1990 Feb;56(2):100-3
Allan R N,Keigliley M R B, Alexander J, Hawkins E
(1990), Inflammatory bowel disease, Churchill Livingstone, Edinburgh
Sands BE: Crohn's disease, in Feldman M, Tschumy WO,
Friedman LS (eds): Sleisenger and Fordtran's Gastrointestinal and
Liver Disease, 7th ed. Philadelphia: WB Saunders, 2002, p. 2005.
Weston LA, Roberts PL, SchoetzJr DJ, et al: Ileocolic resection for
acute presentation of Crohn's disease of the ileum. Dis Colon
Rectum 1996; 39:841-846
Crohn BB, Ginsberg L, Oppenheimer GD. Regional ileitis: a
pathological and clinical entity. JAMA 1932;99:1323–1329
Lockhart-Mummery H, Morson B. Crohn's disease (regional
enteritis) of the large intestine and its distinction from ulcerative
colitis. Gut 1960;1:87–105
Lichtenstein GR, Hanauer SB, Kane SV et al. Crohn's is not a 6-
week disease: lifelong management of mild to moderate Crohn's
disease. Inflamm Bowel Dis 2004;10(Suppl 2):S2–S10
Post S, Herfarth C, Bohm E et al. The impact of disease pattern,
surgical management, and individual surgeons on the risk for
relaparotomy for recurrent Crohn's disease. Ann Surg
;223:253–260
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An Initiative of The Tamil Nadu Dr MGR Medical University