FOREIGN BODY AS A CAUSE OF SMALL BOWEL OBSTRUCTION IN PATIENT WITH CROHN’S DISEASE
Viktor Domislović, Marko Brinar, Nikša Turk, Silvija Čuković-Čavka, Ana Barišić, Tihomir Kekez, Željko Krznarić
Foreign body in digestive tract is a rare cause of intestinal obstruction. Most foreign bodies pass digestive tract spontaneously. Endoscopic intervention will be needed in approximately 10-20%, and surgical intervention in less than 1% of cases. People with increased risk of foreign body obstruction are those with previous abdominal operation, hernia, tumor, Crohn’s disease or congenital intestinal malformations. In this paper we have presented a patient with Crohn’s disease and stenosis of terminal ileum with prestenotic dilatation hospitalized due to bowel obstruction caused by foreign body in terminal ileum. Surgicaly removed foreign body was peach pit stuck in the ileocaecal valve. Except of the most common causes of small bowel obstruction, it is necessary to bear in mind the rare causes of obstruction and consider them in differential diagnosis, especially in patients with Crohn’s disease, due to timely intervention and lowering the possibility of developing complications such as perforation, bleeding or fistula formation.
Ana Barišić, Marko Brinar, Nikša Turk, Silvija Čuković-Čavka, Tihomir Kekez, Viktor Domislović, Željko Krznarić