compared surgical outcomes of CD patients with perforating versus nonperforating disease following ileocolic
Following the withdrawal of the small intestine into the abdomen, a functional side-by-side ileocolic
anastomosis was performed by resecting the ischemic segment with the caecum.
Histopathology revealed involvement of appendiceal or ileocolic
The most commonly embolized vessel was the ileocolic
artery and its branches i.e.
The associated diseases/clinical conditions included ischemic bowel (3 cases), diverticulosis (2 cases), sepsis (1 case), Clostridium difficile colitis (1 case), Crohn disease after ileocolic
resection (1 case), volvulus (1 case), endoscopically resected polyps (1 case), lymphoma (1 case), bowel perforation (1 case), and rectal bleeding (1 case).
12-18% of the desmoid-type fibromatoses are intra-abdominal; 80% of them are located in the mesentery of the small bowel, but some may originate from the ileocolic
IN has been reported to be ileocolic
in more than 80% of cases.
After an ileocolic
resection he was found to have intestinal spirochetosis of the caecum.
When diagnostic, a large dilated ovoid air-filled cecum is usually visualized in the upper left abdomen as the hypermobile cecum has rotated upward and to the left around the ileocolic
vessels and is often referred to as a "kidney shaped" gaseous distended loop of bowel.
Rotation occurs around the ileocolic
artery, impairing blood supply.
Our results are different from those published before with laparoscopic-assisted ileocolic
resections for CD [16, 17, 21], since most of the studies have focused on confirming the benefits of laparoscopic approach over open surgery in patients with CD.
The CT scan showed an increased CT value of the greater omentum and ileocolic
mesentery, and ascites (Figure 1).