Publication details

Náhlé příhody břišní u pacientů s Crohnovou chorobou - kazuistiky

Title in English Acute abdomen in patients with Crohn's disease - case reports
Authors

MAREK Filip KUNOVSKÝ Lumír GROLICH Tomáš HEMMELOVÁ Beáta POREDSKÁ Karolina BARTUŠEK Daniel KALA Zdeněk

Year of publication 2019
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.prolekare.cz/casopisy/rozhledy-v-chirurgii/2019-1-3/nahle-prihody-brisni-u-pacientu-s-crohnovou-chorobou-kazuistiky-107611
Keywords Crohn's disease; surgery; acute abdomen; bowel obstruction; peritonitis
Description Crohn's disease (CD) as a chronic inflammatory disease can affect the entire digestive tract and therefore involves a wide range of symptoms and health problems. It often mimics other diseases of the digestive tract. In the case of acute abdomen in a patient with CD, it is necessary to approach it individually in cooperation with a gastroenterologist in order to reduce the extent of resection and to ensure fewer resections. In our two case reports, we present patients with bowel obstruction and inflammatory acute abdomen. The first patient benefits from conservative treatment despite the presence of a bowel obstruction (resulting from inflammation) before subsequent surgical treatment. It is a relatively common acute complication of CD. The second patient, despite her ongoing pregnancy and the impossibility of using appropriate imaging techniques in the follow-up treatment, with regard to her clinical condition, requires an urgent surgical solution due to a fairly rare perforation abdominal cavity.

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