Free peritoneal perforation in a patient with Crohn's disease - Report of a case
| Autor: | Natalia Pranzetti Vieira, Cláudio Saddy Rodrigues Coy, Marc A. Ward, Raquel Franco Leal, Nielce Maria de Paiva, João José Fagundes, Emanuelle Bellaguarda, Debora Helena Rossi, Maria de Lourdes Setsuko Ayrizono |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Crohn's disease
medicine.medical_specialty Surgical approach business.industry digestive oral and skin physiology Perforation (oil well) Complication of Crohn's disease Bowel perforation Disease medicine.disease digestive system diseases Article Surgery medicine Intestinal perforation Complication business |
| Zdroj: | International journal of surgery case reports. 4(3) |
| ISSN: | 2210-2612 |
| Popis: | INTRODUCTIONBowel perforation with free peritoneal air is a rare complication of Crohn's disease (CD).PRESENTATION OF CASEWe report a case of a 36 year-old male patient, with history significant for CD and he presented to the emergency room with a free peritoneal perforation, which was diagnosed by abdominal X-ray and confirmed by CT scan. The patient underwent a laparotomy surgery; however, no site of perforation was identified. The surgical approach was to clean the cavity, close the abdominal wall and administer antibiotic therapy. He demonstrated good early and late postoperative outcomes.DISCUSSIONWe report a rare case of free perforation to the peritoneum in a patient with CD. The most likely hypothesis is that it was a micro-colonic perforation. Antibiotic therapy and a conservative surgical approach without colon resection can be performed and it is reported in the literature.CONCLUSIONEmergency conditions in CD may result in significant morbidity, but are normally associated with low mortality, if identified and treated properly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|