tailieunhanh - Báo cáo y học: "Perforated Meckel's diverticulitis complicating active Crohn's ileitis: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Perforated Meckel's diverticulitis complicating active Crohn's ileitis: a case report | Journal of Medical Case Reports BioMed Central Open Access Perforated Meckel s diverticulitis complicating active Crohn s ileitis a case report Frank Schwenter 1 Pascal Gervaz1 Philippe de Saussure2 Thomas McKee3 and Philippe Morel1 Address Department of Surgery University Hospital and Medical School Geneva 1211 Geneva 14 Switzerland 2Department of Gastroenterology University Hospital and Medical School Geneva 1211 Geneva 14 Switzerland and 3Department of Pathology University Hospital and Medical School Geneva 1211 Geneva 14 Switzerland Email Frank Schwenter - Pascal Gervaz - Philippe de Saussure - Thomas McKee - Philippe Morel - Corresponding author Published 13 January 2009 Received 10 March 2008 Journal of Medical Case Reports 2009 3 12 doi l752-l947-3-l2 Accepted 13 January 2009 This article is available from http content 3 l l2 2009 Schwenter et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction In Crohn s disease the extension of active terminal ileitis into a Meckel s diverticulum is possible but usually has no impact on clinical decision-making. We describe an original surgical approach in a young woman presenting with a combination of perforated Meckel s diverticulitis and active Crohn s ileitis. Case presentation We report the case of a 22-year-old woman with Crohn s disease who was admitted for abdominal pain fever and diarrhoea. CT scan demonstrated active inflammation of the terminal ileum as well as a fluid collection in the right iliac fossa suggesting intestinal perforation. Laparoscopy was performed and revealed in addition to .