[A case of ileal perforation caused by Crohn's disease].
A case of acute perforation of the small bowel in a 32-year-old man with Crohn's disease not previously diagnosed is presented. The patient underwent an emergency bowel resection and anastomosis and was put on 5-ASA for the following 4 years. No clinical or endoscopic recurrences appeared during this period. In order to avoid both functional disorders and recurrences, a surgical treatment based on resection and anastomosis in minor risk cases, i.e. in patients without abscess and/or concurrent steroid therapy, and on resections limited to grossly involved segments of bowel is advocated.
Cortese
F
F
Chirurgia II Divisione, Azienda USSL, Ambito Territoriale n. 4, Lombardia, Ospedale di Saronno, Varese.
Meroni
R
R
Galimberti
G
G
Esposito
F
F
D000328:Adult; D000714:Anastomosis, Surgical; D002432:Cecum / Q000601:surgery; D003424:Crohn Disease / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007082:Ileum / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D013997:Time Factors