Analysis of clinical manifestations and emergency operations of Crohn disease:a report of 26 cases

VernacularTitle:因急腹症行急诊手术治疗克罗恩病26例临床分析
Author: Zhiqiang ZHONG ; Maomin SONG ; Rixing BAI
Publication Type:Journal Article
Keywords: Abdomen,acute; Diagnosis; Emergency treatment; Crohn disease
From: Chinese Journal of Postgraduates of Medicine 2009;32(26):20-23
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical features,diagnosis and operative treatment in Crohn disease(CD)characterized by acute abdomen.Method The clinical data of 26 CD cases testified by pathology after emergency operations from April 1997 to February 2009 were retrospectively analyzed.Results In 26 cases of acute abdomen,17 cases characterized by mechanical obstruction,6 cases characterized by peritonitis,3 cases characterized by hemorrhage of digestive tract.Eight cases(30.8%)were diagnosed before operation,and 13 cases(50.0%)were diagnosed during operation,totally 80.8%(21/26).All patients received surgical operations as following:resection and anastomosis in 21 eases,resection and fistulation in 4 cases,ileotransverso-stomy in 1 case.Two cases died after operation,and others discharged including 1 case received second operation within 5 days.Conclusion It is difficult to be diagnosed before operation when CD characterized by acute abdomen,and appropriate emergency operations are needed according to the particular cases.