2021
DOI: 10.1093/jscr/rjab415
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Perforated viscus as first presentation of Crohn’s disease: a case report

Abstract: Bowel perforation as the first presentation of inflammatory bowel disease is rare and unusual in young patients. A previously asymptomatic 21-year-old Asian male presented with perforated small bowel secondary to previously undiagnosed Crohn’s disease. He underwent an exploratory laparotomy and subsequent small bowel resection and was commenced on mesalazine post-operation. He recovered well with subsequent regular follow-up with gastroenterology. The main management of Crohn’s disease is multidisciplinary in … Show more

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Cited by 2 publications
(6 citation statements)
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“…In this case, it is quite notable that the patient reported no symptoms until her first presentation to the hospital with a perforated bowel. Free perforation of the bowel as the first presentation of Crohn's disease is rare with an incidence of 3.4 %, with 86.1 % of perforations involving the ileum [4] .…”
Section: Discussionmentioning
confidence: 99%
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“…In this case, it is quite notable that the patient reported no symptoms until her first presentation to the hospital with a perforated bowel. Free perforation of the bowel as the first presentation of Crohn's disease is rare with an incidence of 3.4 %, with 86.1 % of perforations involving the ileum [4] .…”
Section: Discussionmentioning
confidence: 99%
“…Features of Trans-mural inflammation like stricture, fistula, perforation, hemorrhage, abscess, perianal disease are rare manifestations of Crohn's disease but would necessitate surgery as their mainstay of management. In 1–16 % of patients undergoing surgery for Crohn's disease, bowel perforation was the main indication [4] .…”
Section: Discussionmentioning
confidence: 99%
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