Croft R J
Postgrad Med J. 1977 Jun;53(620):344-6. doi: 10.1136/pgmj.53.620.344.
A rare case of free double ileal perforation in previously asymptomatic and undiagnosed Crohn's disease of the terminal ileum is described. At operation, a primary resection and anastomosis of the diseased bowel was performed. The management of free perforation in Crohn's disease is discussed, together with a review of the literature. It is suggested that the absence of steroids in a previously undiagnosed case may favour primary resection and anastomosis.
本文描述了一例罕见的游离性双回肠穿孔病例，该病例发生于此前无症状且未被诊断出的末端回肠克罗恩病。手术时，对病变肠段进行了一期切除并吻合。文中讨论了克罗恩病游离穿孔的处理方法，并对相关文献进行了综述。研究表明，在先前未被诊断出的病例中，未使用类固醇可能有利于一期切除并吻合。
