[A previously unreported late complication of Finney strictureplasty].
We report the case of a 23 year old woman, treated for Crohn's disease for 11 years. She was operated on for multiple obstructing jejuno-ileal strictures using strictureplasty technique. Nine stricturoplasties of Heineke-Mikulicz type and one Finney type were performed without immediate postoperative complication. The patient received Imurel(R) and remained in remission for 15 months. Peritonitis due to a perforation of the Finney strictureplasty required re-operation; an ileostomy was performed. Such a late complication of a strictureplasty has not previously been reported in the literature. Although this complication was severe, the indication for this procedure in the surgical management of Crohn's complications should not be modified.
Bedioui
H
H
Service de Chirurgie A, Hôpital La Rabta - Tunis, Tunisie. h_bdioui@yahoo.fr
Jouini
M
M
Ksantini
R
R
Fteriche
F
F
Chebbi
F
F
Daghfous
A
A
Ayadi
S
S
Kacem
M
M
Boubaker
J
J
Filali
A
A
Ben Safta
Z
Z
D000328:Adult; D003251:Constriction, Pathologic / Q000601:surgery; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery; D007081:Ileostomy; D007415:Intestinal Obstruction / Q000601:surgery; D007579:Jejunal Diseases / Q000601:surgery; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications; D012086:Reoperation