Successful surgical management of spontaneous multiple free ileum perforation caused by regional enteritis (Crohn disease)
Nagy, A.; Pák, G.; Jankovich, M.; Károlyi, P.
Orvosi Hetilap 138(39): 2479-2482
1997
ISSN/ISBN: 0030-6002 PMID: 9380388 Document Number: 474532
Spontaneous free perforation of the small intestine is a rare early (first) complication of the Crohn's disease. Case reports have not exceeded the hundred. The authors report the case history of a 40 years old male patient who was successfully operated on double, multiple free perforation of ileum as first sign of the Crohn's disease. First the suture of the perforated small bowel and second the resection of reperforated ileum was carried out. The base on the macroscopic and microscopic appearance of the resected bowel, the diagnosis was supposed by pathologists too. Presented paper based on the very rare clinical finding.