The 465th case: intestinal obstruction, gastrointestinal hemorrhage and duodenal fistula
10.3760/cma.j.issn.0578-1426.2018.08.019
- VernacularTitle: 第465例——肠梗阻、消化道出血、十二指肠瘘
- Author:
Ya'nan WANG
;
Xiaoqing LI
1
;
Fan GUO
;
Aiming YANG
;
Jiaming QIAN
;
Jingnan LI
;
Huadan XUE
;
Weixun ZHOU
;
Zhiqiang MA
Author Information
1. Department of Gastroenterology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
- Publication Type:Journal Article
- Keywords:
Crohn'
s disease;
Intestinal obstruction;
Gastrointestinal hemorrhage;
Duodenal fistula
- From:
Chinese Journal of Internal Medicine
2018;57(8):614-616
- CountryChina
- Language:Chinese
-
Abstract:
This is a complicated and difficult case. The onset symptom of a 62-year-old male was recurrent intestinal obstruction. Ileocecal and ileocolic operation was done twice. Massive gastrointestinal bleeding occurred due to giant fistula of descending duodenum, which connected to ileocolic anastomosis. After consultation by multidisciplinary team, jejunal-feeding tube was placed to provide enteral nutrition. With general condition improving, duodenal fistula repair and involved bowel resection were performed. Postoperative pathology confirmed Crohn's disease. The patient was treated with thalidomide and recovered well during follow-up.
