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Type: Artigo de periódico
Title: Free Peritoneal Perforation In A Patient With Crohn's Disease - Report Of A Case.
Author: Leal, Raquel Franco
Ward, Marc
Ayrizono, Maria de Lourdes Setsuko
de Paiva, Nielce Maria
Bellaguarda, Emanuelle
Rossi, Débora Helena Gonçalves
Vieira, Natália Pranzetti
Fagundes, João José
Rodrigues Coy, Cláudio Saddy
Abstract: Bowel perforation with free peritoneal air is a rare complication of Crohn's disease (CD). We report a case of a 36 year-old male patient, with history significant for CD and he presented to the emergency room with a free peritoneal perforation, which was diagnosed by abdominal X-ray and confirmed by CT scan. The patient underwent a laparotomy surgery; however, no site of perforation was identified. The surgical approach was to clean the cavity, close the abdominal wall and administer antibiotic therapy. He demonstrated good early and late postoperative outcomes. We report a rare case of free perforation to the peritoneum in a patient with CD. The most likely hypothesis is that it was a micro-colonic perforation. Antibiotic therapy and a conservative surgical approach without colon resection can be performed and it is reported in the literature. Emergency conditions in CD may result in significant morbidity, but are normally associated with low mortality, if identified and treated properly.
Rights: aberto
Identifier DOI: 10.1016/j.ijscr.2012.12.018
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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