Abstract
A case of Crohn's disease with ileal perforation is reported. A 24-year-old woman was admitted to the hospital because of an abdomonal pain and fever. In spite of conservative therapy, her condition had been gradually deteriorated. Small intestineal gas in abdominal X-ray films increased, and ultrasonograms revealed a lot of ascites. Gray-color pus was punctured from the Douglas' pouch. An emergency laparotomy was performed under a diagnosis of generalized peritonitis. In addition to a large amount of purulent fluid, a perforation of the small intestine was detected at a site of two meters from the ileocaecal junction. About one meter of the ileum was resected. Macroscopically, cobble stone appearance and longitudinal ulcer were observed. The histological diagnosis was Crohn's disease. This paper presents this relatively rare case together with a review of the Japanese literature.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
