Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports

Intestinal obstruction is one of the most common complications of Crohn’s disease (CD), jeopardizing the quality of life of patients. Numerous factors may contribute to intestinal obstruction in CD. Thus far, the primary reason has been identified as intestinal fibrosis caused by repeated chronic in...

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Main Authors: Kai Xia, Renyuan Gao, Xiaocai Wu, Yu Ruan, Jian Wan, Tianqi Wu, Fangtao Wang, Yin Lin, Lu Yin, Chunqiu Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.895202/full
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author Kai Xia
Renyuan Gao
Xiaocai Wu
Yu Ruan
Jian Wan
Tianqi Wu
Fangtao Wang
Yin Lin
Lu Yin
Chunqiu Chen
author_facet Kai Xia
Renyuan Gao
Xiaocai Wu
Yu Ruan
Jian Wan
Tianqi Wu
Fangtao Wang
Yin Lin
Lu Yin
Chunqiu Chen
author_sort Kai Xia
collection DOAJ
description Intestinal obstruction is one of the most common complications of Crohn’s disease (CD), jeopardizing the quality of life of patients. Numerous factors may contribute to intestinal obstruction in CD. Thus far, the primary reason has been identified as intestinal fibrosis caused by repeated chronic inflammation during the active phase of CD. Herein, we report two rare complicated CD cases and provide a reference for the clinical diagnosis and treatment of similar patients. Case one involves capsule endoscope retention in the small intestine of one CD patient concurrent with intestinal obstruction. Case two is a CD patient with intestinal obstruction caused by a mesangial hernia and ileal stenosis. Individualized and minimally invasive surgical intervention ultimately resulted in the successful management of these two patients. The two cases serve as an excellent guide for diagnosing and treating CD patients who present with similar symptoms.
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spelling doaj.art-680418e55e3444da98891726b51bbad52022-12-22T03:04:11ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-04-01910.3389/fmed.2022.895202895202Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case ReportsKai Xia0Renyuan Gao1Xiaocai Wu2Yu Ruan3Jian Wan4Tianqi Wu5Fangtao Wang6Yin Lin7Lu Yin8Chunqiu Chen9Diagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaSurgery and Anesthesia Center, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDiagnostic and Treatment Center for Refractory Diseases of Abdomen Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaIntestinal obstruction is one of the most common complications of Crohn’s disease (CD), jeopardizing the quality of life of patients. Numerous factors may contribute to intestinal obstruction in CD. Thus far, the primary reason has been identified as intestinal fibrosis caused by repeated chronic inflammation during the active phase of CD. Herein, we report two rare complicated CD cases and provide a reference for the clinical diagnosis and treatment of similar patients. Case one involves capsule endoscope retention in the small intestine of one CD patient concurrent with intestinal obstruction. Case two is a CD patient with intestinal obstruction caused by a mesangial hernia and ileal stenosis. Individualized and minimally invasive surgical intervention ultimately resulted in the successful management of these two patients. The two cases serve as an excellent guide for diagnosing and treating CD patients who present with similar symptoms.https://www.frontiersin.org/articles/10.3389/fmed.2022.895202/fullCrohn’s diseaseintestinal obstructioncapsule endoscopyinternal herniaminimally invasive surgery
spellingShingle Kai Xia
Renyuan Gao
Xiaocai Wu
Yu Ruan
Jian Wan
Tianqi Wu
Fangtao Wang
Yin Lin
Lu Yin
Chunqiu Chen
Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
Frontiers in Medicine
Crohn’s disease
intestinal obstruction
capsule endoscopy
internal hernia
minimally invasive surgery
title Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
title_full Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
title_fullStr Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
title_full_unstemmed Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
title_short Crohn’s Disease Complicated by Rare Types of Intestinal Obstruction: Two Case Reports
title_sort crohn s disease complicated by rare types of intestinal obstruction two case reports
topic Crohn’s disease
intestinal obstruction
capsule endoscopy
internal hernia
minimally invasive surgery
url https://www.frontiersin.org/articles/10.3389/fmed.2022.895202/full
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