[A case of perforated small bowel adenocarcinoma as first symptom of Crohn's disease].
A case of perforated small bowel adenocarcinoma presenting as first symptom of Crohn's disease is reported in a 53 years old male patient with abdominal pain and alteration of bowel habits. Endoscopic bioptical sampling demonstrated a Crohn's disease in active stage. The patient underwent medical therapy with resolution of the complained symptomatology; 20 days after discharge the patients is rehospitalized for acute abdomen. A narrowing perforated neoplasia in terminal ileum was discovered at laparotomy. Diffuse peritonitis and metastatic peritoneal implantations were also revealed. An ileocolic resection is performed with ileo-transverse colon anastomosis. The patient dies 4 months later for advanced disease.
Napolitano
L
L
Dipartimento di Scienze Chirurgiche, Ospedale SS. Annunziata, Università degli Studi di Chieti.
de Nicola
P
P
Di Bartolomeo
N
N
Aceto
L
L
Liddo
G
G
Angelucci
D
D
Innocenti
P
P
D000006:Abdomen, Acute / Q000209:etiology; D000230:Adenocarcinoma / Q000150:complications* / Q000601:surgery; D001706:Biopsy; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004724:Endoscopy; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged