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Acute jejunoileal obstruction due to a pseudopolyp in a child with undiagnosed crohn disease: a case report.

Christianakis E, Pashalidis N, Kokkinou S, Pitiakoudis M, Mplevrakis E, Chorti M, Rizos S, Filippou D - J Med Case Rep (2008)

Bottom Line: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area.The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, Pendeli's Children Hospital, Athens, Greece. xristinakis@in.gr

ABSTRACT

Introduction: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.

Case presentation: A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area. At laparotomy, a jejunoileal segment of 45 cm, containing multiple areas of damage to the small intestine, was excised and a primary end - to - end anastomosis was performed.

Conclusion: The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

No MeSH data available.


Related in: MedlinePlus

Photograph of the surgical specimen.
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Figure 2: Photograph of the surgical specimen.

Mentions: The patient underwent laparotomy and 30 cm of small bowel with multiple areas of damage was found. The damage included macroscopically a rigid and thickened mass in the ileal portion, creeping fat, multiple granulomas in the external intestinal surface and ulcers, two of which had parietal ruptures with fluid escape. A resection of 45 cm of the ileo-jejunal portion, including all areas of intestinal damage, was performed and a primary end to end ileo-jejunal anastomosis completed the operation (Figure 2). Longitudinal incision of the intestine showed a cobblestone appearance, due to linear ulcers crossing with transverse folds. Linear ulcers were created from interconnected rows of aphthous ulcers. A characteristic large pseudopolyp, 4 cm in diameter, was in the obstructed portion of the mass.


Acute jejunoileal obstruction due to a pseudopolyp in a child with undiagnosed crohn disease: a case report.

Christianakis E, Pashalidis N, Kokkinou S, Pitiakoudis M, Mplevrakis E, Chorti M, Rizos S, Filippou D - J Med Case Rep (2008)

Photograph of the surgical specimen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2277428&req=5

Figure 2: Photograph of the surgical specimen.
Mentions: The patient underwent laparotomy and 30 cm of small bowel with multiple areas of damage was found. The damage included macroscopically a rigid and thickened mass in the ileal portion, creeping fat, multiple granulomas in the external intestinal surface and ulcers, two of which had parietal ruptures with fluid escape. A resection of 45 cm of the ileo-jejunal portion, including all areas of intestinal damage, was performed and a primary end to end ileo-jejunal anastomosis completed the operation (Figure 2). Longitudinal incision of the intestine showed a cobblestone appearance, due to linear ulcers crossing with transverse folds. Linear ulcers were created from interconnected rows of aphthous ulcers. A characteristic large pseudopolyp, 4 cm in diameter, was in the obstructed portion of the mass.

Bottom Line: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area.The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pediatric Surgery, Pendeli's Children Hospital, Athens, Greece. xristinakis@in.gr

ABSTRACT

Introduction: Crohn's disease (CD) can affect any part of the alimentary tract from the mouth to the anus, with most common site being the terminal ileum.

Case presentation: A child suffering from undiagnosed Crohn disease (CD), presented with an acute abdominal obstruction due to a large pseudopolyp in the jejunoileal area. At laparotomy, a jejunoileal segment of 45 cm, containing multiple areas of damage to the small intestine, was excised and a primary end - to - end anastomosis was performed.

Conclusion: The coexistence of an intestinal pseudopolyp with undiagnosed Crohn's disease may be the cause of acute abdominal obstruction in children.

No MeSH data available.


Related in: MedlinePlus