Unbound MEDLINE

Small bowel volvulus in association with recurrent Crohn's disease.

Abstract

The concomitant occurrence of Crohn's disease and small bowel volvulus is rare because of the serosal inflammation in the former disease causes adherence of the bowel to adjacent structures. A 61-year old female patient with ileocolitis developed 30 cm. of recurrent Crohn's disease in the ileum proximal to a previous ileosigmoidostomy. Following several episodes of small bowel obstruction she was found to have a small bowel volvulus which progressed to infarction. The possibility of volvulus should be considered in the differential diagnosis of a patient with granulomatous disease because of the danger of gangrene, perforation and peritonitis. Surgery should not be delayed in Crohn's disease if complete obstruction persists more than 24 hours, particularly if ischemia of the bowel cannot be ruled out.

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  • Authors

    Fink W, Cohen A, Greenstein AJ

    Source

    The American journal of gastroenterology 74:4 1980 Oct pg 337-41

    MeSH

    Crohn Disease
    Female
    Humans
    Ileal Diseases
    Ileum
    Intestinal Mucosa
    Intestinal Obstruction
    Middle Aged
    Recurrence

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    7457457