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Case Reports
. 2013 Jul-Sep;17(3):499-502.
doi: 10.4293/108680813X13693422521872.

Emergency laparoscopic ileocecal resection for Crohn's acute obstruction

Nereo Vettoretto  1 , Luca Gazzola, Maurizio Giovanetti
Affiliations
Case Reports

Emergency laparoscopic ileocecal resection for Crohn's acute obstruction

Nereo Vettoretto et al. JSLS. 2013 Jul-Sep.

Abstract

Introduction: Emergency surgery for Crohn's disease (CD) is a rare entity, and its indications are scant in the published literature. Emergency laparoscopy for small bowel obstruction has gained wide dissemination with the spread of advanced laparoscopic skills within surgical practice. Therefore, incidental terminal ileitis after exploration might be a more-common finding in the near future, and further studies are needed to better ascertain proper surgical treatment.

Case description: We report on a case of acute obstruction caused by undiagnosed terminal ileitis associated with CD.

Discussion and conclusion: The patient underwent explorative laparoscopy and subsequent video-assisted ileocecal resection with an optimal outcome.

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Figures

Figure 1.
Figure 1.
CT scan appearance of the distal ileum.
Figure 2.
Figure 2.
Thickened and inflamed bowel extracted through a McBurney minilaparotomy.
Figure 3.
Figure 3.
Histologic appearance of the terminal ileus.
See this image and copyright information in PMC

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