A Case of Crohn's Disease Initially Diagnosed following Duodenal Perforation

Abstract

A 20-year-old man was transported to the hospital because of epigastric pain. During emergency surgery, a perforation was found in the anterior wall of the duodenal bulb, and laparoscopic omental filling and drainage were performed. Helicobacter pylori IgG was negative. The patient was discharged from the hospital on the 17th postoperative day, but he was readmitted to the hospital on the 30th postoperative day due to fever, abdominal pain, and vomiting. Duodenal stenosis, duodenal ulcer, and colon ulcer scar were seen, which led to the diagnosis of Crohn's disease. A gastrojejunostomy was performed on the 106th postoperative day. There were no complications, and the patient was discharged from the hospital on the 136th hospital day. Since this is the first case diagnosed as Crohn's disease because of duodenal perforation, it is reported along with a review of the literature.