Multiple Intestinal Perforation In Crohn's Disease

MOTOULA LATOU Noé Henschel (1) , MASSAMBA MIABAOU Didace (2) , NOTE MADZELE Murielle Etiennette Julie (3) , N'ZAKA Carmich Daimler (4)
(1) Doctor of Medicine, General Surgeon, Assistant at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville. , Congo
(2) Doctor of Medicine, General Surgeon, Assistant professor at the Marien N'GOUABI University of Brazzaville (CONGO) Head of Department of Digestive Surgery at the CHU Brazzaville , Cocos (Keeling) Islands
(3) Doctor of Medicine, General Surgeon, Assistant professor at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville. , Congo
(4) MD, Surgeon General, Head of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville , Congo

Abstract

Intestinal perforation is a rare progressive complication of Crohn's disease. Only 25% of cases represent the first manifestation of this disease, and its management is medical-surgical. We report a case of multiple intestinal perforation indicative of Crohn's disease in a 16-year-old patient at Brazzaville University Hospital. She had a history of recurrent abdominal pain treated symptomatically since the age of 5 years. Intraoperative exploration revealed 6 ileal perforations, 3 perforations of the coecum, 2 perforations of the right colic angle and mesenteric adenopathy’s. Biopsies of perforation and lymphadenopathies, perforation sutures and an ileostomy were performed. The pathological analysis of the operative specimens concluded that there was Crohn's disease. Treatment with Mezalazine has achieved clinical improvement without recurrence for 2 years.

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Authors

MOTOULA LATOU Noé Henschel
MASSAMBA MIABAOU Didace
NOTE MADZELE Murielle Etiennette Julie
N'ZAKA Carmich Daimler
Author Biographies

MOTOULA LATOU Noé Henschel, Doctor of Medicine, General Surgeon, Assistant at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville.

Doctor of Medicine, General Surgeon, Assistant at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville.

MASSAMBA MIABAOU Didace, Doctor of Medicine, General Surgeon, Assistant professor at the Marien N'GOUABI University of Brazzaville (CONGO) Head of Department of Digestive Surgery at the CHU Brazzaville

Doctor of Medicine, General Surgeon, Assistant professor at the Marien N'GOUABI University of Brazzaville (CONGO)  Head of Department of Digestive Surgery at the CHU Brazzaville

NOTE MADZELE Murielle Etiennette Julie, Doctor of Medicine, General Surgeon, Assistant professor at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville.

Doctor of Medicine, General Surgeon, Assistant professor at Marien N'GOUABI University of Brazzaville (CONGO) Chief of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville.

N'ZAKA Carmich Daimler, MD, Surgeon General, Head of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville

MD, Surgeon General, Head of Clinic in the department of Digestive Surgery of the University Hospital of Brazzaville

Henschel, M. L. N., Didace, M. M., Julie, N. M. M. E., & Daimler, N. C. (2019). Multiple Intestinal Perforation In Crohn’s Disease. Journal of Medical Care Research and Review, 2(3), 120–122. https://doi.org/10.15520/mcrr.v2i3.21
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