title: Free perforation of the small bowel in Crohn's disease.
abstract: A rare case of free double ileal perforation in previously asymptomatic and undiagnosed Crohn's disease of the terminal ileum is described. At operation, a primary resection and anastomosis of the diseased bowel was performed. The management of free perforation in Crohn's disease is discussed, together with a review of the literature. It is suggested that the absence of steroids in a previously undiagnosed case may favour primary resection and anastomosis.
mesh_terms: D003424:Crohn Disease / Q000150:complications* / Q000601:surgery; D007082:Ileum / Q000473:pathology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery