An Unusual Presentation of Crohn’s Disease and Novel Use of Direct Peritoneal Resuscitation

Author Info

James J. Juhng Adeel Samad Jarod Shelton Ali Jawed

Corresponding Author

James J. Juhng
Department of General Surgery, Wellspan York Hospital, York, Pennsylvania, USA

A B S T R A C T

Crohn’s disease is an inflammatory bowel disease characterized by transmural inflammation, with the majority of patients having small bowel involvement, usually the distal ileum. Typical manifestations include a prolonged course of abdominal pain, diarrhea, fatigue, and weight loss. We report a case of a 21-year-old male who presented with an acute abdomen and was in profound shock resulting in cardiac arrest. The patient underwent damage control, exploratory laparotomy complicated by acute hypoxic respiratory failure requiring veno-venous extracorporeal membrane oxygenation and the novel use of direct peritoneal resuscitation in the setting of an acute abdomen with an uncontrolled enterotomy and bowel spillage. Our case report illustrates the importance of prompt surgical intervention and critical care with the application of novel surgical techniques to minimize mortality in an unusual presentation of Chron’s disease.

Article Info

Article Type

Case Report

Publication history

Received: Mon 18, Jul 2022
Accepted: Fri 12, Aug 2022
Published: Tue 20, Dec 2022

Copyright

© 2023 James J. Juhng. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.IJSCR.2022.02.01