engleski

A Free Terminal Ileal Perforation as the Presenting Sign of Crohn’s Disease in an Adolescent Female

A previously healthy 14-year-old girl was referred to our hospital for management of an acute abdomen. She had a previous history of colicky abdominal pain with distension, diarrhea, and vomiting lasting over three days. On examination, she was exhausted, dehydrated, and pale. BP was 105/70 mm Hg, and pulse rate was 130 per minute. The abdomen was distended and warm, with diffuse abdominal tenderness. An erect x-ray abdomen was taken, revealing a free gas collection under the diaphragm with dilated bowel loops. CT scan confirmed the presence of pneumoperitoneum and intra-abdominal fluid around the spleen and liver...

Free Intestinal Perforation ; Diffuse Peritonitis ; Crohn’s Disease ; Children ; Surgery

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