Free peritoneal perforation in a patient with Crohn's disease-Report of a case

Raquel Franco Leal*, Marc Ward, Maria De Lourdes Setsuko Ayrizono, Nielce Maria De Paiva, Emanuelle Bellaguarda, Débora Helena Gonçalves Rossi, Natália Pranzetti Vieira, João José Fagundes, Cláudio Saddy Rodrigues Coy

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)322-324
Number of pages3
JournalInternational Journal of Surgery Case Reports
Volume4
Issue number3
DOIs
StatePublished - 2013

Keywords

  • Complication of Crohn's disease
  • Crohn's disease
  • Intestinal perforation
  • Surgical approach

ASJC Scopus subject areas

  • Surgery

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