Category: Crohn’s disease

Crohn's disease

Spontaneous free perforation of the small intestine in Crohn’s disease: DISCUSSION Part 2

DISCUSSION

The pattern of clinical behaviour for patients with a free perforation was evaluated. Previous studies of Crohn’s disease have suggested that patients with either fibrostenosing (stricturing) or fistulizing (penetrating/perforating) disease tend to redevelop a similar pattern of recurrent fibrostenos-ing or fistulizing disease. Although one patient developed a second spontaneous free…

Crohn's disease

Spontaneous free perforation of the small intestine in Crohn’s disease

Crohn’s disease

Crohn’s disease is characterized by a transmural intestinal inflammatory process with deep ulcers and the formation of abscesses or fistulous tracts into adjacent, often adherent intestinal and nonintestinal structures. Free spontaneous perforation into the peritoneal cavity is a dramatic event that is, fortunately, rare but necessitates urgent surgical intervention. It…