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KMID : 0356720040200050326
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Journal of the Korean Society of Coloproctology
2004 Volume.20 No. 5 p.326 ~ p.332
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A Case of Crohn´s Disease Which is Diagnosed through Acute Sigmoid Colon Obstruction
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Moon Jong-Ha
Sung Chi-Won
Kim Kab-Tae
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Abstract
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Crohn´s disease is an inflammatory bowel disease like ulcerative colitis. Distinct from ulcerative colitis, Crohn´s disease may involve any portion of the alimentary tract from the mouth to the anus. Recently, the incidence of Crohn´s disease has been increasing in Korea. The proportion of the colon type is smaller than that of the ileocecal type or the small-bowel type. In the colon, Crohn´s disease affects mainly the right side. Relatively, the sigmoid colon is rarely involved. Small-bowel obstruction is the most common complication requiring surgery in Crohn´s disease. On the contrary, an obstruction limited to the colon requiring surgery is less common in Crohn´s disease. We experienced a case of a severe acute sigmoid colon obstruction with peritonitis. At first, we suspected colon cancer, but after an emergency laparotomy, we
diagnosed it as Crohn´s disease. Such a situation is rare in Korea, so we hope this case report may provide a good opportunity to reconsider Crohn´s disease. J Korean Soc Coloproctol 2004;20:326-332
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KEYWORD
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Crohn´s disease, Sigmoid colon obstruction
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