A case of perforated small bowel adenocarcinoma as first symptom of Crohn's disease |
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Authors: | Napolitano L de Nicola P Di Bartolomeo N Aceto L Liddo G Angelucci D Innocenti P |
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Institution: | Dipartimento di Scienze Chirurgiche, Ospedale SS. Annunziata, Università degli Studi di Chieti. |
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Abstract: | A case of perforated small bowel adenocarcinoma presenting as first symptom of Crohn's disease is reported in a 53 years old male patient with abdominal pain and alteration of bowel habits. Endoscopic bioptical sampling demonstrated a Crohn's disease in active stage. The patient underwent medical therapy with resolution of the complained symptomatology; 20 days after discharge the patients is rehospitalized for acute abdomen. A narrowing perforated neoplasia in terminal ileum was discovered at laparotomy. Diffuse peritonitis and metastatic peritoneal implantations were also revealed. An ileocolic resection is performed with ileo-transverse colon anastomosis. The patient dies 4 months later for advanced disease. |
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