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Surgery time for stenosed Crohn's disease: Case report
Mohammad N Nofal1, Ali J Yousef1, Saad H Samarah2
1General Surgery and Anesthesia Department, Faculty of Medicine, Mutah University, Karak 61710, Jordan.
Introduction And Importance:
Stricture formation is a well-known Crohn's disease consequence that usually results from recurrent cycles of inflammation and healing and primarily affects the small intestine.
Case Presentation:
In this report, we describe the case of a 35-year-old male with an 18-year history of Crohn's disease complicated by long-kinked ileal stricture who presented with a 3-month history of subacute small intestinal obstruction diagnosed with MR enterography and underwent failed medical treatment.
Clinical Discussion:
The patient, a male showing signs of wasting due to a prolonged subacute small intestinal obstruction, underwent an MR enterography which revealed a 6-cm kinked ileal stricture. Intraoperative observations included a significantly dilated small intestine proximal to the stricture and a collapsed distal small bowel. Following resection, the patient experienced a smooth recovery with marked improvement.
Conclusion:
When there are clear indications for the surgical resection of a stenosed bowel segment caused by Crohn's disease, it is advisable to proceed with the surgery promptly, with a preference for side-to-side stapled anastomosis.
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