Abstract
A rare case of free double ileal perforation in previously asymptomatic and undiagnosed Crohn's disease of the terminal ileum is described. At operation, a primary resection and anastomosis of the diseased bowel was performed. The management of free perforation in Crohn's disease is discussed, together with a review of the literature. It is suggested that the absence of steroids in a previously undiagnosed case may favour primary resection and anastomosis.
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- CROHN B. B. THE PATHOLOGY OF ACUTE REGIONAL ILEITIS. Am J Dig Dis. 1965 Jun;10:565–572. doi: 10.1007/BF02233051. [DOI] [PubMed] [Google Scholar]
- Graham P. A., Baugh J. H. Perforation and peritonitis in regional enteritis. Am J Surg. 1968 Jun;115(6):856–860. doi: 10.1016/0002-9610(68)90535-7. [DOI] [PubMed] [Google Scholar]
- HARJOLA P. T., APPELQVIST R., LILIUS H. G. SMALL BOWEL PERFORATION IN CROHN'S DISEASE. Acta Chir Scand. 1965 Jul-Aug;130:143–147. [PubMed] [Google Scholar]
- Horn R. C., Rhoads J. E. Regional Enteritis Involving Meckel's Diverticulum Perforation of the Diverticulum and Fistula Formation. Ann Surg. 1944 Feb;119(2):274–278. doi: 10.1097/00000658-194402000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Javett S. L., Brooke B. N. Acute dilatation of colon in Crohn's disease. Lancet. 1970 Jul 18;2(7664):126–128. doi: 10.1016/s0140-6736(70)92703-0. [DOI] [PubMed] [Google Scholar]
- Menguy R. Surgical management of free perforation of the small intestine complicating regional enteritis. Ann Surg. 1972 Feb;175(2):178–189. doi: 10.1097/00000658-197202000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Midgley F. M., Thompson N. W. Free bowel perforations with regional enteritis. Arch Surg. 1968 Oct;97(4):553–557. doi: 10.1001/archsurg.1968.01340040049006. [DOI] [PubMed] [Google Scholar]
- Nasr K., Morowitz D. A., Anderson J. G., Kirsner J. B. Free perforation in regional enteritis. Gut. 1969 Mar;10(3):206–208. doi: 10.1136/gut.10.3.206. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robinson K. P., Craft I. L. Free perforation of the small bowel due to regional enteritis. Br J Surg. 1967 Sep;54(9):799–801. doi: 10.1002/bjs.1800540914. [DOI] [PubMed] [Google Scholar]
- Steinberg D. M., Cooke W. T., Alexander-Williams J. Free perforation in Crohn's disease. Gut. 1973 Mar;14(3):187–190. doi: 10.1136/gut.14.3.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waye J. D., Lithgow C. Small bowel perforation in regional enteritis. Gastroenterology. 1967 Oct;53(4):625–629. [PubMed] [Google Scholar]