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Unusual Complications of Regional Enteritis

Unusual Complications of Regional Enteritis REGIONAL enteritis is associated with many complications; these include abdominal abscesses, hemorrhage, fistula formation, bowel obstruction, and malabsorption syndrome. Involvement of the duodenum is an unusual but well-established manifestation. Duodenobiliary communication, however, has been reported in only three cases,1 and liver abscess is rare.2,3 The following report describes a case of regional enteritis that was complicated by both a duodenobiliary fistula and a hepatic abscess. Report of a Case A 42-year-old man was admitted to Michael Reese Hospital and Medical Center with a 14-year history of regional enteritis. In 1960, he had undergone resection of the terminal ileum and ascending colon at another hospital. In April 1969, he had had a laparotomy for a right-lower-quadrant abscess, and a jejunotransverse colostomy was performed, leaving approximately 2 meters of functioning small bowel. The patient's status worsened progressively during the next two years, with recurrent attacks of cramping pain and fever. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Unusual Complications of Regional Enteritis

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1976.03260430050028
Publisher site
See Article on Publisher Site

Abstract

REGIONAL enteritis is associated with many complications; these include abdominal abscesses, hemorrhage, fistula formation, bowel obstruction, and malabsorption syndrome. Involvement of the duodenum is an unusual but well-established manifestation. Duodenobiliary communication, however, has been reported in only three cases,1 and liver abscess is rare.2,3 The following report describes a case of regional enteritis that was complicated by both a duodenobiliary fistula and a hepatic abscess. Report of a Case A 42-year-old man was admitted to Michael Reese Hospital and Medical Center with a 14-year history of regional enteritis. In 1960, he had undergone resection of the terminal ileum and ascending colon at another hospital. In April 1969, he had had a laparotomy for a right-lower-quadrant abscess, and a jejunotransverse colostomy was performed, leaving approximately 2 meters of functioning small bowel. The patient's status worsened progressively during the next two years, with recurrent attacks of cramping pain and fever.

Journal

JAMA – American Medical Association

Published: Apr 26, 1976

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