MULTIPLE, RECURRENT ILEAL PERFORATIONS- CROHNS DISEASE

Crohns disease is a chronic, transmural, granulomatous, non-caseating inflammation of the gastrointestinal tract characterised by alternating periods of relapse and remission. Though it can cause a myriad of GI pathologies, free perforation of the intestine is rare. We report a case of a 55 year old female patient who presented with features of subacute adhesive intestinal obstruction and went in for perforated peritonitis during her stay in the hospital. Emergency exploratory laparotomy revealed multiple, distal ileal perforations, the cause of which was later identified to be Crohns disease.