A rare surgical complication of Crohn's diseases

Free peritoneal perforation

M. Veroux, I. Angriman, C. Ruffolo, M. Barollo, P. Veroux, P. Caglià, A. Sommariva, P. Fiamingo, D. F. D'Amico

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background. Free peritoneal perforation is a rare complication of Crohn's disease. Methods. We evaluated the incidence of free peritoneal perforation among 208 patients with Crohn's disease surgically treated in the period 1992-2000. Results. Five patients (2.4%) suffered from free peritoneal perforation. In 1 patient free peritoneal perforation was the first symptom of Crohn's disease. In 3 cases the perforation was in the small bowel and in 2 in the large bowel. All patients underwent surgery: all cases had a resection of the involved bowel and in 2 cases an ileostomy was performed in order to prevent severe peritonitis. We did not observed mortality or major complications. Conclusions. Free peritoneal perforation is rare with about 100 cases reported in literature. No correlation seems to exist with previous corticosteroid treatment. The surgical treatment is mandatory. Simple suture should be avoided. The most appropriate treatment, whenever it is feasible, is resection of the involved bowel with immediate or, in case of severe sepsis, delayed anastomosis.

Original languageEnglish
Pages (from-to)351-354
Number of pages4
JournalMinerva Chirurgica
Volume58
Issue number3
Publication statusPublished - Jun 2003

Fingerprint

Crohn Disease
Ileostomy
Peritonitis
Sutures
Sepsis
Adrenal Cortex Hormones
Therapeutics
Mortality
Incidence

Keywords

  • Anastomosis, surgical
  • Crohn disease, complications
  • Crohn disease, surgery
  • Intestinal perforation

ASJC Scopus subject areas

  • Surgery

Cite this

Veroux, M., Angriman, I., Ruffolo, C., Barollo, M., Veroux, P., Caglià, P., ... D'Amico, D. F. (2003). A rare surgical complication of Crohn's diseases: Free peritoneal perforation. Minerva Chirurgica, 58(3), 351-354.

A rare surgical complication of Crohn's diseases : Free peritoneal perforation. / Veroux, M.; Angriman, I.; Ruffolo, C.; Barollo, M.; Veroux, P.; Caglià, P.; Sommariva, A.; Fiamingo, P.; D'Amico, D. F.

In: Minerva Chirurgica, Vol. 58, No. 3, 06.2003, p. 351-354.

Research output: Contribution to journalArticle

Veroux, M, Angriman, I, Ruffolo, C, Barollo, M, Veroux, P, Caglià, P, Sommariva, A, Fiamingo, P & D'Amico, DF 2003, 'A rare surgical complication of Crohn's diseases: Free peritoneal perforation', Minerva Chirurgica, vol. 58, no. 3, pp. 351-354.
Veroux M, Angriman I, Ruffolo C, Barollo M, Veroux P, Caglià P et al. A rare surgical complication of Crohn's diseases: Free peritoneal perforation. Minerva Chirurgica. 2003 Jun;58(3):351-354.
Veroux, M. ; Angriman, I. ; Ruffolo, C. ; Barollo, M. ; Veroux, P. ; Caglià, P. ; Sommariva, A. ; Fiamingo, P. ; D'Amico, D. F. / A rare surgical complication of Crohn's diseases : Free peritoneal perforation. In: Minerva Chirurgica. 2003 ; Vol. 58, No. 3. pp. 351-354.
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AU - Caglià, P.

AU - Sommariva, A.

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AB - Background. Free peritoneal perforation is a rare complication of Crohn's disease. Methods. We evaluated the incidence of free peritoneal perforation among 208 patients with Crohn's disease surgically treated in the period 1992-2000. Results. Five patients (2.4%) suffered from free peritoneal perforation. In 1 patient free peritoneal perforation was the first symptom of Crohn's disease. In 3 cases the perforation was in the small bowel and in 2 in the large bowel. All patients underwent surgery: all cases had a resection of the involved bowel and in 2 cases an ileostomy was performed in order to prevent severe peritonitis. We did not observed mortality or major complications. Conclusions. Free peritoneal perforation is rare with about 100 cases reported in literature. No correlation seems to exist with previous corticosteroid treatment. The surgical treatment is mandatory. Simple suture should be avoided. The most appropriate treatment, whenever it is feasible, is resection of the involved bowel with immediate or, in case of severe sepsis, delayed anastomosis.

KW - Anastomosis, surgical

KW - Crohn disease, complications

KW - Crohn disease, surgery

KW - Intestinal perforation

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