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Spontaneous multiple small bowel perforations due to ischemic enteritis: a case report

Cheru Lilay Gebrehiwet1, Aklilu Yiheyis Abereha2, Dawit Aysheshim Mulualem2

  • 1Department of Surgery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. ruche2003@gmail.com.

BMC Geriatrics
|April 24, 2025
PubMed
Abstract

Insights

Spontaneous multiple small bowel perforations are a rare complication, particularly when caused by ischemic enteritis. This case highlights a 75-year-old man who successfully recovered after emergency surgery for this condition.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Spontaneous multiple small bowel perforation involves transmural disruption of the intestinal wall.
  • Associated conditions include inflammatory bowel disease, infectious enteritis, drugs, and autoimmune diseases.
  • Perforations due to ischemic enteritis are a rare clinical entity.

Observation:

  • A 75-year-old male presented with acute abdominal pain, vomiting, fever, bloody diarrhea, and distension.
  • Radiography revealed pneumoperitoneum.
  • Emergency laparotomy identified ischemic lesions and multiple perforations in the jejunum and ileum.

Findings:

  • Histopathology confirmed ischemic enteritis.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • Ischemic enteritis, though uncommon, can lead to multiple small bowel ruptures.
  • Early surgical intervention is crucial for managing this rare but severe complication.
Keywords:
Case reportEnteritisIschemic enteritisMultiple small bowel perforationsPeritonitis

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