Mild Abdominal Trauma Complicated With Bowel Perforation in Patient With Crohn's Disease: Clinical and Intraoperative Findings.

Ayman M Babiker,Adi Abdulaziz R Aldubaiyan,Abdullah Hamad A Alkharraz,Hamad A Yusef Alsaeed

doi:10.7759/cureus.21977

Abstract

Crohn’s disease (CD) is a chronic inflammatory disease and is an autoimmune disorder. Due to its remission and relapse cycle, the integrity of the intestinal wall becomes compromised in patients with inflammatory bowel disease. This increases susceptibility to bowel perforation following mechanical injury, especially in patients using immunosuppressive therapy. However, few reports discuss the severity of injury after abdominal trauma in Crohn’s patients and how much mild abdominal blunt trauma in such patients can be different in the presentation clinically in correlation with the severity of the intraoperative findings. We report a case of ascending colon perforation secondary to mild abdominal blunt trauma in a patient with CD.

Highlights

Crohn’s disease (CD) is a chronic relapsing and remitting inflammatory disease that mainly affects the GI tract and has extraintestinal complications [1]
Few reports discuss the severity of injury after abdominal trauma in Crohn’s patients and how much mild abdominal blunt trauma in such patients can be different in the presentation clinically in correlation with the severity of the intraoperative findings
We report a case of ascending colon perforation secondary to mild abdominal blunt trauma in a patient with CD

Summary

Introduction

Crohn’s disease (CD) is a chronic relapsing and remitting inflammatory disease that mainly affects the GI tract and has extraintestinal complications [1]. On October 5, 2019, a 25-year-old male, known case of CD, presented to the ER after a motor vehicle accident with low-intensity blunt trauma (LIBT), complaining of only abdominal pain. He had a history of transient loss of consciousness and vomiting following the accident. How to cite this article Babiker A M, Alkharraz A A, Yusef Alsaeed H A, et al (February 07, 2022) Mild Abdominal Trauma Complicated With Bowel Perforation in Patient With Crohn’s Disease: Clinical and Intraoperative Findings.

Discussion

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Disclosures