Acute abdomen in patients with Crohn’s disease − case reports

Czech version

Authors: F. Marek ¹; L. Kunovsky ^1,2; T. Grolich ¹; B. Hemmelová ¹; K. Poredská ²; D. Bartušek ³; Z. Kala ¹
Authors‘ workplace: Chirurgická klinika, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity ¹; Interní gastroenterologická klinika, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity ²; Klinika radiologie a nukleární medicíny, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity ³
Published in: Rozhl. Chir., 2019, roč. 98, č. 1, s. 31-34.
Category: Case Report

Overview

Introduction:

Crohn’s disease (CD) as a chronic inflammatory disease can affect the entire digestive tract and therefore involves a wide range of symptoms and health problems. It often mimics other diseases of the digestive tract. In the case of acute abdomen in a patient with CD, it is necessary to approach it individually in cooperation with a gastroenterologist in order to reduce the extent of resection and to ensure fewer resections.

Case reports:

In our two case reports, we present patients with bowel obstruction and inflammatory acute abdomen. The first patient benefits from conservative treatment despite the presence of a bowel obstruction (resulting from inflammation) before subsequent surgical treatment. It is a relatively common acute complication of CD. The second patient, despite her ongoing pregnancy and the impossibility of using appropriate imaging techniques in the follow-up treatment, with regard to her clinical condition, requires an urgent surgical solution due to a fairly rare perforation to abdominal cavity.

Key words:

Crohn’s disease – surgery – acute abdomen – bowel obstruction – peritonitis

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Labels

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Article was published in

Perspectives in Surgery

2019 Issue 1