Abstract
Introduction: Spontaneous perforation of the small intestine is a welldocumented initial presentation or complication of Crohn’s disease. Review of literature shows that the most common site of free perforation is the ileum. Transmural inflammation of the intestinal walls makes them more susceptible to insult. Perforation of the jejunum as the initial presentation in Crohn’s disease is rare and not well described in literature. Case Report: We report a case of spontaneous jejunal perforation in a 34yearold Caucasian male. Histopathological studies revealed Crohn’s disease. Conclusion: Our case brought to light an uncommon presentation of this disease. Isolated jejunal perforation as an initial presentation of Crohn’s disease is very rare. Prompt identification of this complication is essential in patients with Crohn’s disease and early referral for surgery is warranted.
Highlights
Spontaneous perforation of the small intestine is a welldocumented initial presentation or complication of Crohn’s disease
Spontaneous perforation of the small bowel has been reported in patients with Crohn's disease
We present a case of a young Caucasian male patient presenting with spontaneous isolated perforation of Jejunum as the initial presentation of Crohn's disease
Summary
Spontaneous perforation of the small bowel has been reported in patients with Crohn's disease. We present a case of a young Caucasian male patient presenting with spontaneous isolated perforation of Jejunum as the initial presentation of Crohn's disease. A 34yearold Caucasian male with no past medical history presented with a oneday history of acute onset lower abdominal pain, nausea and vomiting He denied any previous change in bowel habits, tenesmus, blood or mucus in his stools, weight loss or fevers or any urinary symptoms. He drank an average of two alcoholic drinks a day, five times per week. Patient has a relatively benign postoperative course He was managed conservatively until normal bowel function returned. The patient opted to followup at another institution for convenience
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