Crohn's disease presenting as acute abdomen diagnosis and management a Case Report

CD is characterised by a chronic full thickness inflammatory process that can affect any part ofthe gastrointestinal tract from the lips to the anal margin. We present a case of acute abdomenadmitted in CMH Rangpur. Exploratory laparotomy was performed and diseased resectedsegments were confirmed as Crohn's Disease on histopathology. Journal of Surgical Sciences (2017) Vol. 21 (1) :36-38

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Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

Case Reports in Surgery ◽

10.1155/2013/421961 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Faruk Karateke ◽

Ebru Menekşe ◽

Koray Das ◽

Sefa Ozyazici ◽

Pelin Demirtürk

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Gastrointestinal Tract ◽

Crohn's Disease ◽

Medical Treatment ◽

Immunosuppressive Therapy ◽

Surgical Management ◽

Surgical Intervention ◽

Surgical Options ◽

Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

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Crohn's Disease Complicated by Perforation of the Ileum and Sigmoid Colon Presenting as an Acute Abdomen. A Case Report.

Nippon Daicho Komonbyo Gakkai Zasshi ◽

10.3862/jcoloproctology.55.103 ◽

2002 ◽

Vol 55 (2) ◽

pp. 103-107

Author(s):

T. Hata ◽

M. Kinuta ◽

T. Kano ◽

S. Matsui ◽

T. Monden

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Acute Abdomen ◽

Sigmoid Colon

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Small Bowel Volvulus as Delayed Presentation of Undiagnosed Crohn’s Disease: A Case Report

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.8.53524 ◽

2021 ◽

Vol 5 (4) ◽

pp. 455-458

Author(s):

Minh Thu Nguyen ◽

Amir Ali ◽

Ryan Bodkin

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Small Bowel ◽

Crohn's Disease ◽

Exploratory Laparotomy ◽

Hemodynamic Instability ◽

Delayed Presentation ◽

Aged Woman ◽

Middle Aged Woman ◽

Inflammatory Bowel

Introduction: Emergency department (ED) visits related to flare-ups of inflammatory bowel disease (IBD) are becoming more prevalent. There are many potentially dangerous complications and sequelae of uncontrolled IBD. Case Report: We report a case of a middle-aged woman who presented with a few hours of severe abdominal pain, nausea, and vomiting. Given her hemodynamic instability, she was sent urgently for computed tomography, which showed an incomplete small bowel malrotation, mesenteric volvulus, and high-grade small bowel obstruction with evolving ischemia. The patient underwent exploratory laparotomy to resect most of her small intestines. Biopsies later revealed active Crohn’s disease. Conclusion: Patients with flare-ups of IBD are common in the ED, but very few present with a midgut volvulus later in life. Our case is unique and adds to the literature due to the dramatic consequences of undiagnosed Crohn’s disease in a patient with intermittent symptoms and extensive workup spanning over two decades.

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