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Postpartum avulsion of the terminal ileal wall in Crohn's disease

M J Solomon1, A K Deva, S J Corcoran

  • 1Department of Colorectal Surgery, University of Sydney, New South Wales, Australia.

A case of acute perforation of the terminal ileum induced by avulsion of the bowel wall in a segment of acutely inflamed Crohn's disease is presented. This case is unusual in that the avulsion developed after delivery following the rapid retraction of the uterus which had been compressing a small localized perforation and abscess. A review of the literature has failed to demonstrate a similar case report.

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