Emergency laparoscopic ileocecal resection for crohn's acute obstruction

Abstract

Introduction: Emergency surgery for Crohn's disease (CD) is a rare entity, and its indications are scant in the published literature. Emergency laparoscopy for small bowel obstruction has gained wide dissemination with the spread of advanced laparoscopic skills within surgical practice. Therefore, incidental terminal ileitis after exploration might be a more-common finding in the near future, and further studies are needed to better ascertain proper surgical treatment. Case Description: We report on a case of acute obstruction caused by undiagnosed terminal ileitis associated with CD. Discussion and Conclusion: The patient underwent explorative laparoscopy and subsequent video-assisted ileocecal resection with an optimal outcome. © 2013 by JSLS, Journal of the Society of Laparoendoscopic Surgeons.