creators_name: Bhat M, Sriram creators_name: M, Ashfaque creators_name: K, Balu creators_name: J, Madhusudhanan creators_name: RK, Sendhil creators_id: meera_sriram2003@yahoo.com creators_id: creators_id: creators_id: creators_id: editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2008-03-10 14:50:00 lastmod: 2011-03-11 08:57:04 metadata_visibility: show title: A Rare Presentation of Crohn's Disease ispublished: pub subjects: OJHAS full_text_status: public keywords: Free perforation, Crohn's disease, Ileal perforation note: This is an updated version of the deposit http://cogprints.org/5936/ abstract: Free peritoneal perforation is a rare complication of Crohn's disease with a report of only 100 cases in the literature. It needs an emergency exploration and an unaware general surgeon is confounded in intraoperative decision-making. We present our experience when this rarity struck us in a district hospital and briefly review the guidelines of optimal management of this complication of Crohn's disease. date: 2008-01-24 date_type: published publication: Online Journal Of Health And Allied Sciences volume: 6 number: 4 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. Mekhijan HS, Sweitz DM, Watts HD et al. National cooperative Crohn's disease study: Factors determining recurrence of Crohn's disease after surgery. Gasteroenterology 1979;77:907-913. 2. Fazio VW, Wu JS. Surgical therapy for Crohn's disease of the colon and rectum. Surg Clin North Am 1997;77:197-210. 3. Tomaszczyk M, Zwemer DA. Int Surg 2005;90(3 Suppl):S45-7. 4. Veroux M, Angriman I, Ruffolo C et al. Minerva Chir 2003;58(3):351-4. 5. Ellis LM, Copeland EM, Souba WW. Perioperative nutritional support. Surg Clin North Am 1991;71:493-507. 6. Delaney CP, FazioVW. Crohn's disease of the small bowel. Surg Clin North Am 2001;81:137-158. 7. Fazio VW, Marchetti F, Church JM et al. Effect of resection margins on the recurrence of Crohn's disease in the small bowel. Ann Surg 1996;224:563-573. 8. Sheehan AL, Warren BF, Gear MWL, et al. Fat-wrapping in Crohn's disease: Pathological basis and rrelevance to surgical practice. Br J Surg 1992;79:955-958. 9. Scarpa M, Angriman I et al. Role of stapled and hand-sewn anastomosis in recurrence of Crohn's disease. Hepatogastroenterology 2004;51:1053-57. 10. Hurst RD, Molinari M, Chung TP et al. Prospective study of the features, indications and surgical treatment in513 consecutive patients affected by Crohn's disease. Surgery 1997;122:661-7. 11. Wexner SD et al. Surgery of Crohn's disease including stricturoplasty. In: Robert J Baker, Josef E Fischer, eds. Mastery of Surgery, 4th edition. 2001. Philadelphia: Lippincott Williams & Wilkins. Pp. 1446-7. 12. Assche GV, Rutgeerts P. Medical management of postoperative recurrence in Crohn's disease. Gastroenterol Clin N Am 2004;33:347-360. 13. Yamamoto T. Factors affecting recurrence after surgery for Crohn's disease. World J Gastroenterol 2005;11:3971-3979. citation: Bhat M, Sriram and M, Ashfaque and K, Balu and J, Madhusudhanan and RK, Sendhil (2008) A Rare Presentation of Crohn's Disease. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/5942/1/2007-4-6.pdf