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Case Report
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| Jejunal perforation: An unusual presentation of Crohn's disease | ||||||
| Josia Narda Henry1, Belen Tesfaye1, Tammana VS2, Cortni Tyson3, Andrew Sanderson4 | ||||||
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1MD, Resident, Internal Medicine, Howard University Hospital, DC, Washington DC, USA.
2MD, Fellow, Gastroenterology, Howard University Hospital, DC, Washington DC, USA. 3Fellow, Gastroenterology, Howard University Hospital, DC, Washington DC, USA. 4Attending, Gastroenterology, Howard University Hospital, DC, Washington DC, USA. | ||||||
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| How to cite this article: |
| Henry JN, Tesfaye B, Tammana VS, Tyson C, Sanderson A. Jejunal perforation: An unusual presentation of Crohn's disease. International Journal of Case Reports and Images 2013;4(7):349–353. |
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Abstract
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Introduction:
Spontaneous perforation of the small intestine is a well-documented initial presentation or complication of Crohn’s disease. Review of literature shows that the most common site of free perforation is the ileum. Transmural inflammation of the intestinal walls makes them more susceptible to insult. Perforation of the jejunum as the initial presentation in Crohn’s disease is rare and not well described in literature.
Case Report: We report a case of spontaneous jejunal perforation in a 34-year-old Caucasian male. Histopathological studies revealed Crohn’s disease. Conclusion: Our case brought to light an uncommon presentation of this disease. Isolated jejunal perforation as an initial presentation of Crohn’s disease is very rare. Prompt identification of this complication is essential in patients with Crohn’s disease and early referral for surgery is warranted. | |
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Keywords:
Crohn's disease, Jejunum, Perforation
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Author Contributions
Josia Narda Henry – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Belen Tesfaye – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Tammana VS – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Cortni Tyson – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Andrew Sanderson – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Josia Narda Henry et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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