A previously unreported late complication of Finney strictureplasty |
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Authors: | Bedioui H Jouini M Ksantini R Fteriche F Chebbi F Daghfous A Ayadi S Kacem M Boubaker J Filali A Ben Safta Z |
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Affiliation: | 1. Service de Chirurgie A, Hôpital La Rabta – Tunis (Tunisie);2. Service de Gastro-entérologie A, Hôpital La Rabta – Tunis (Tunisise) |
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Abstract: | We report the case of a 23 year old woman, treated for Crohn's disease for 11 years. She was operated on for multiple obstructing jejuno-ileal strictures using strictureplasty technique. Nine stricturoplasties of Heineke-Mikulicz type and one Finney type were performed without immediate postoperative complication. The patient received Imurel(R) and remained in remission for 15 months. Peritonitis due to a perforation of the Finney strictureplasty required re-operation; an ileostomy was performed. Such a late complication of a strictureplasty has not previously been reported in the literature. Although this complication was severe, the indication for this procedure in the surgical management of Crohn's complications should not be modified. |
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