The diagnosis and therapy for a case of Crohn′s disease complicated with abdominal infection and massive hemorrhage of gastrointestinal tract by the cooperation of multidisciplinary team
10.3760/cma.j.cn101480-20201004-00110
- VernacularTitle:多学科团队协作诊治的克罗恩病并发腹腔感染及消化道大出血一例
- Author:
Ming DUAN
1
;
Enhao WU
1
;
Yi LI
1
;
Lei CAO
1
;
Yanqing DIAO
1
;
Weiming ZHU
1
Author Information
1. 解放军东部战区总医院普通外科，南京 210002
- Publication Type:Journal Article
- Keywords:
Crohn′s disease;
Abdominal infection;
Malnutrition;
Gastrointestinal hemorrhage;
Osteoporosis;
Nutritional support;
Multidisciplinary team
- From:
Chinese Journal of Inflammatory Bowel Diseases
2021;05(3):251-254
- CountryChina
- Language:Chinese
-
Abstract:
Crohn′s disease is prone to secondary abdominal infection and malnutrition, and the clinical treatment of severe cases is very difficult. The patient started with intestinal perforation, developed massive hemorrhage of gastrointestinal tract, anastomotic leakage, abdominal infection, and secondary severe malnutrition and osteoporosis after surgery, and received preoperative optimal treatment such as nutritional support, abdominal drainage and hemostasis. During the treatment, the patient developed gastrointestinal bleeding, severe arrhythmia with shock, pulmonary edema and abdominal abscess. After active treatment, the operation conditions were created, then small intestinal anastomotic resection and double lumen enterostomy were performed as soon as possible. Nutritional support was given after the surgery. Finally, the double lumen enterostomy was successfully restored to rebulid the continuity of the intestine.
