[Acute hemorrhage in Crohn's disease].
The authors present a case of profuse haemorrhage into the lower part of the digestive tract in a 17-year-old patient where Crohn's disease of the terminal ileum and right colon up to the hepatal flexure was diagnosed by sonographic examination. The haemorrhage occurred after preparation for coloscopic examination with Fortrans only 2 months after the onset of the first symptoms of the disease. Because of developing signs of haemorrhagic shock emergency surgery was necessary. Resection of the terminal ileum and dextrolateral hemicolectomy was performed and during operation coloscopy to eliminate further sources of haemorrhage. The patient recovered p.p.i. and was discharged on the 10th day after surgery. The authors discuss diagnostic and therapeutic pitfalls of this rare complication of Crohn's disease and compare their findings with data from the literature.
Kostka
R
R
Chirurgická klinika FNKV, Praha.
Marx
D
D
D000208:Acute Disease; D000293:Adolescent; D003082:Colectomy; D003424:Crohn Disease / Q000150:complications* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D012771:Shock, Hemorrhagic / Q000209:etiology
Akutní krvácení u Crohnovy choroby.