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A Case of Crohn¢¥s Disease Which is Diagnosed through Acute Sigmoid Colon Obstruction
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¹®Á¾ÇÏ ( Moon Jong-Ha )
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¼ºÄ¡¿ø ( Sung Chi-Won )
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±è°©Å ( Kim Kab-Tae )
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KMID : 0356720040200050326
Abstract
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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Crohn¢¥s disease;Sigmoid colon obstruction
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