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Colonic perforation following mild abdominal trauma in a patient with Crohn's disease: a case report.

Bunni J, Monkhouse SJ, Armstrong CP - World J Emerg Surg (2008)

Bottom Line: Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence.We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with signs of shock and peritonitis following minor abdominal trauma.This is the first UK report of a patient with inflammatory bowel disease suffering colonic perforation following minimal trauma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Upper GI Surgery, Frenchay Hospital, Bristol, UK. johnbunni@hotmail.com.

ABSTRACT
Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence. We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with signs of shock and peritonitis following minor abdominal trauma. A computed tomography (CT) scan revealed ascending colonic perforation and he underwent a subsequent right hemicolectomy. This is the first UK report of a patient with inflammatory bowel disease suffering colonic perforation following minimal trauma.

No MeSH data available.


Related in: MedlinePlus

Computed tomography image of ascending colon perforation – coronal view.
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Figure 1: Computed tomography image of ascending colon perforation – coronal view.

Mentions: Blood test showed mildly raised inflammatory markers and an erect chest x-ray showed no convincing evidence of pneumoperitoneum. The patient was fluid resuscitated and given he was haemodynamically stable; a CT was performed to diagnose further prior to surgery. Clinically, a splenic injury was the working diagnosis. Computed tomography scan revealed free gas and a perforation of the ascending colon (fig 1). There was no evidence of splenic laceration or subcapsular haematoma of the liver. He proceeded to laparotomy.


Colonic perforation following mild abdominal trauma in a patient with Crohn's disease: a case report.

Bunni J, Monkhouse SJ, Armstrong CP - World J Emerg Surg (2008)

Computed tomography image of ascending colon perforation – coronal view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2277435&req=5

Figure 1: Computed tomography image of ascending colon perforation – coronal view.
Mentions: Blood test showed mildly raised inflammatory markers and an erect chest x-ray showed no convincing evidence of pneumoperitoneum. The patient was fluid resuscitated and given he was haemodynamically stable; a CT was performed to diagnose further prior to surgery. Clinically, a splenic injury was the working diagnosis. Computed tomography scan revealed free gas and a perforation of the ascending colon (fig 1). There was no evidence of splenic laceration or subcapsular haematoma of the liver. He proceeded to laparotomy.

Bottom Line: Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence.We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with signs of shock and peritonitis following minor abdominal trauma.This is the first UK report of a patient with inflammatory bowel disease suffering colonic perforation following minimal trauma.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Upper GI Surgery, Frenchay Hospital, Bristol, UK. johnbunni@hotmail.com.

ABSTRACT
Colonic perforation following mild abdominal trauma in patients with Crohn's disease is a rare occurrence. We present a case of a 21 year old Crohn's sufferer, who presented to the emergency department with signs of shock and peritonitis following minor abdominal trauma. A computed tomography (CT) scan revealed ascending colonic perforation and he underwent a subsequent right hemicolectomy. This is the first UK report of a patient with inflammatory bowel disease suffering colonic perforation following minimal trauma.

No MeSH data available.


Related in: MedlinePlus