---
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.
altloc:
  - http://www.ojhas.org/issue24/2007-4-6.htm
chapter: ~
commentary: ~
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confloc: ~
contact_email: ~
creators_id:
  - meera_sriram2003@yahoo.com
  - ''
  - ''
  - ''
  - ''
creators_name:
  - family: Bhat M
    given: Sriram
    honourific: ''
    lineage: ''
  - family: M
    given: Ashfaque
    honourific: ''
    lineage: ''
  - family: K
    given: Balu
    honourific: ''
    lineage: ''
  - family: J
    given: Madhusudhanan
    honourific: ''
    lineage: ''
  - family: RK
    given: Sendhil
    honourific: ''
    lineage: ''
date: 2008-01-24
date_type: published
datestamp: 2008-03-10 14:50:00
department: ~
dir: disk0/00/00/59/42
edit_lock_since: ~
edit_lock_until: ~
edit_lock_user: ~
editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr.
    lineage: ''
eprint_status: archive
eprintid: 5942
fileinfo: /style/images/fileicons/application_pdf.png;/5942/1/2007%2D4%2D6.pdf
full_text_status: public
importid: ~
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ispublished: pub
issn: ~
item_issues_comment: []
item_issues_count: 0
item_issues_description: []
item_issues_id: []
item_issues_reported_by: []
item_issues_resolved_by: []
item_issues_status: []
item_issues_timestamp: []
item_issues_type: []
keywords: "Free perforation, Crohn's disease, Ileal perforation"
lastmod: 2011-03-11 08:57:04
latitude: ~
longitude: ~
metadata_visibility: show
note: This is an updated version of the deposit http://cogprints.org/5936/
number: 4
pagerange: ~
pubdom: TRUE
publication: Online Journal Of Health And Allied Sciences
publisher: Dr. B.S. Kakkilaya
refereed: TRUE
referencetext: "1.\tMekhijan 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.\r\n2.\tFazio VW, Wu JS. Surgical therapy for Crohn's disease of the colon and rectum. Surg Clin North Am 1997;77:197-210.\r\n3.\tTomaszczyk M, Zwemer DA. Int Surg 2005;90(3 Suppl):S45-7.\r\n4.\tVeroux M, Angriman I, Ruffolo C et al. Minerva Chir 2003;58(3):351-4.\r\n5.\tEllis LM, Copeland EM, Souba WW. Perioperative nutritional support. Surg Clin North Am 1991;71:493-507.\r\n6.\tDelaney CP, FazioVW. Crohn's disease of the small bowel. Surg Clin North Am 2001;81:137-158.\r\n7.\tFazio 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.\r\n8.\tSheehan 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.\r\n9.\tScarpa M, Angriman I et al. Role of stapled and hand-sewn anastomosis in recurrence of Crohn's disease. Hepatogastroenterology 2004;51:1053-57.\r\n10.\tHurst 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.\r\n11.\tWexner 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.\r\n12.\tAssche GV, Rutgeerts P. Medical management of postoperative recurrence in Crohn's disease. Gastroenterol Clin N Am 2004;33:347-360.\r\n13.\tYamamoto T. Factors affecting recurrence after surgery for Crohn's disease. World J Gastroenterol 2005;11:3971-3979."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 28
series: ~
source: ~
status_changed: 2008-03-10 14:50:00
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: A Rare Presentation of Crohn's Disease
type: journale
userid: 4338
volume: 6
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