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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

Histological examination of the specimen revealed oedema and diffuse inflammation throughout the whole intestinal wall (C,D).
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Figure 3: Histological examination of the specimen revealed oedema and diffuse inflammation throughout the whole intestinal wall (C,D).

Mentions: Microscopically, edema and diffuse inflammation of the whole intestinal wall, fissures, granulomas, vascular dilatation, pseudopolyps, mucosal inflammation of the small and large bowel, and granulomas in local lymph nodes were observed. The tip of the appendix was inflamed too (Figure 3).


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)

Histological examination of the specimen revealed oedema and diffuse inflammation throughout the whole intestinal wall (C,D).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Histological examination of the specimen revealed oedema and diffuse inflammation throughout the whole intestinal wall (C,D).
Mentions: Microscopically, edema and diffuse inflammation of the whole intestinal wall, fissures, granulomas, vascular dilatation, pseudopolyps, mucosal inflammation of the small and large bowel, and granulomas in local lymph nodes were observed. The tip of the appendix was inflamed too (Figure 3).

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