Acute abdomen in patients with Crohns disease case reports

Rozhl Chir. 2019 Winter;98(1):31-34.

Abstract

Introduction: Crohns disease (CD) as a chronic inflammatory disease can affect the entire digestive tract and therefore involves a wide range of symptoms and health problems. It often mimics other diseases of the digestive tract. In the case of acute abdomen in a patient with CD, it is necessary to approach it individually in cooperation with a gastroenterologist in order to reduce the extent of resection and to ensure fewer resections.

Case reports: In our two case reports, we present patients with bowel obstruction and inflammatory acute abdomen. The first patient benefits from conservative treatment despite the presence of a bowel obstruction (resulting from inflammation) before subsequent surgical treatment. It is a relatively common acute complication of CD. The second patient, despite her ongoing pregnancy and the impossibility of using appropriate imaging techniques in the follow-up treatment, with regard to her clinical condition, requires an urgent surgical solution due to a fairly rare perforation to abdominal cavity. Key words: Crohns disease - surgery - acute abdomen - bowel obstruction - peritonitis.

Keywords: Crohns disease - surgery - acute abdomen - bowel obstruction - peritonitis.

Publication types

  • Case Reports

MeSH terms

  • Abdomen, Acute* / etiology
  • Abdomen, Acute* / surgery
  • Crohn Disease* / complications
  • Female
  • Humans
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Peritonitis* / etiology
  • Peritonitis* / surgery
  • Pregnancy
  • Pregnancy Complications / etiology
  • Pregnancy Complications / surgery