Hemoperitoneum following mild blunt abdominal trauma: First presentation of Crohn's disease

Antonino Agrusa, Federica Vernuccio, Giorgio Romano, Giuseppe Lo Re, Gaspare Gulotta, Giuseppe Di Buono, Antonino Agrusa, Federica Vernuccio, Giuseppe Di Buono, Federico Midiri, Giuseppe Lo Re, Maria Cristina Galfano, Gaspare Gulotta, Giorgio Romano, Maria Cristina Galfano

Risultato della ricerca: Articlepeer review

4 Citazioni (Scopus)


Introduction: Inflammatory bowel diseases are heterogeneous in their presentation. Crohn's disease (CD) has been described as an unusual cause of massive lower gastrointestinal bleeding. We present a patient with CD whose first presentation was hemoperitoneum following mild blunt abdominal trauma Case presentation: A 54-year-old woman came to the emergency room with a blunt abdominal trauma. The patient underwent an abdominal CT scan with i.v. contrast medium injection, which showed hemoperitoneum with stenotic strictures of the small bowel and active massive bleeding from ileocolic artery. The rapid anemia onset and the CT report induced us to perform blood transfusion and an emergency exploratory laparotomy. Histological examination of the resected terminal ileum revealed a Crohn's disease. Discussion: Crohn's disease has been associated with hemoperitoneum, but to date there is no exact protocol regarding treatment of massive hemorrhagic Crohn's disease, which is rare. A conservative approach with medical therapy has been suggested for initial treatment. However, if medical treatment fails or bleeding continues even with intervention, bowel resection through surgical therapy should be performed.
Lingua originaleEnglish
pagine (da-a)315-318
Numero di pagine4
RivistaActa Medica Mediterranea
Stato di pubblicazionePublished - 2014

All Science Journal Classification (ASJC) codes

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