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Multiple small bowel ruptures due to ischemic enteritis: a case report

Stylianos Delikoukos1, Gregorios Christodoulidis, Dimitrios Zacharoulis

  • 1Department of Surgery, Larissa University Hospital, Larissa, Greece. morfula@otenet.gr

World Journal of Gastroenterology
|July 11, 2006
PubMed

Insights

Multiple small bowel ruptures from ischemic enteritis (ISE) are rare but possible. This case highlights ISE as a cause of acute abdominal pain and bloody diarrhea, leading to bowel perforation.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Ischemic enteritis (ISE) is an uncommon condition affecting the small intestine.
  • Multiple small bowel ruptures are a rare but serious complication of ISE.

Observation:

  • A patient presented with acute abdominal pain and bloody diarrhea.
  • Preoperative colonoscopy suggested Crohn's disease.
  • Intraoperative findings revealed ischemic lesions and multiple ruptures in the jejunum and proximal ileum.

Findings:

  • Histopathological examination confirmed ischemic enteritis (ISE) as the cause of the small bowel ruptures.
  • The case demonstrates a rare clinical presentation of ISE.

Implications:

  • This case underscores the importance of considering ISE in the differential diagnosis of acute abdomen with bloody diarrhea, even when findings mimic other conditions like Crohn's disease.
  • Recognizing ISE as a cause of bowel rupture is crucial for timely surgical intervention and management.

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