Vettoretto Nereo, Gazzola Luca, Giovanetti Maurizio
Laparoscopic Surgical Unit, M. Mellini Hospital, Chiari (BS), UOS Chirurgia Laparoscopica, Azienda Ospedaliera M. Mellini, Viale Giuseppe Mazzini 4, 25032 Chiari (BS), Italy.
JSLS. 2013 Jul-Sep;17(3):499-502. doi: 10.4293/108680813X13693422521872.
Emergency surgery for Crohn's disease (CD) is a rare entity, and its indications are scant in the published literature. Emergency laparoscopy for small bowel obstruction has gained wide dissemination with the spread of advanced laparoscopic skills within surgical practice. Therefore, incidental terminal ileitis after exploration might be a more-common finding in the near future, and further studies are needed to better ascertain proper surgical treatment.
We report on a case of acute obstruction caused by undiagnosed terminal ileitis associated with CD.
The patient underwent explorative laparoscopy and subsequent video-assisted ileocecal resection with an optimal outcome.