Perforated Diverticulitis of the Terminal Ileum Complicating Crohn's Disease with Chronic Renal Failure

DOI 参考文献14件
  • Umemoto Takahiro
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Yokomizo Kazuaki
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Okada Ichiro
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Goto Tetsuhiro
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Saito Mitsuo
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Ishibashi Kazuyoshi
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Kigawa Gaku
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Nemoto Hiroshi
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital
  • Hibi Kenji
    Department of Gastroenterological Surgery, School of Medicine, Showa University Fujigaoka Hospital

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In Crohn's disease (CD), active terminal ileitis may expand to the diverticulum but usually does not impact on clinical decision–making. We detail an original surgical approach in a woman with perforated diverticulitis and CD.<BR>Case presentation<BR>We report the case of a 53–year–old woman with chronic renal failure admitted for lower right abdominal pain, fever, and an abdominal abscess. Computed tomography (CT) showed active ileocecal inflammation and fluid collecting in the right iliac fossa suggesting intestinal perforation. In addition to localized ileitis and ileocecal colitis, ileocaecal resection for diverticulitis perforation showed a 3×3 cm abscess. Pathologically, the surgical specimen showed transmural inflammation with granulomas and perforation of the end of the diverticulum.<BR>Conclusion<BR>CD of the ileum may result in intestinal diverticulitis and perforation.

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