TY - JOUR
T1 - Free peritoneal perforation in a patient with Crohn's disease-Report of a case
AU - Leal, Raquel Franco
AU - Ward, Marc
AU - Ayrizono, Maria De Lourdes Setsuko
AU - De Paiva, Nielce Maria
AU - Bellaguarda, Emanuelle
AU - Rossi, Débora Helena Gonçalves
AU - Vieira, Natália Pranzetti
AU - Fagundes, João José
AU - Rodrigues Coy, Cláudio Saddy
PY - 2013
Y1 - 2013
N2 - INTRODUCTION: Bowel perforation with free peritoneal air is a rare complication of Crohn's disease (CD). PRESENTATION OF CASE: We 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. DISCUSSION: We 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. CONCLUSION: Emergency conditions in CD may result in significant morbidity, but are normally associated with low mortality, if identified and treated properly.
AB - INTRODUCTION: Bowel perforation with free peritoneal air is a rare complication of Crohn's disease (CD). PRESENTATION OF CASE: We 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. DISCUSSION: We 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. CONCLUSION: Emergency conditions in CD may result in significant morbidity, but are normally associated with low mortality, if identified and treated properly.
KW - Complication of Crohn's disease
KW - Crohn's disease
KW - Intestinal perforation
KW - Surgical approach
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U2 - 10.1016/j.ijscr.2012.12.018
DO - 10.1016/j.ijscr.2012.12.018
M3 - Article
C2 - 23416499
AN - SCOPUS:84873670293
SN - 2210-2612
VL - 4
SP - 322
EP - 324
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
IS - 3
ER -