Synchronous perforation of XXXX of the small intestine and colon: a case report.

@entity1 @entity706 @entity4 @entity29 @entity1576 @entity490 @entity1893 @entity221 @entity298
INTRODUCTION: Primary @entity1893 of the small and large bowel presenting as a perforated viscus entity with @entity298 is extremely rare. A thorough literature review did not reveal any cases where @entity706 of the jejunum presented with perforation and @entity298 synchronously with @entity706 of the descending colon. CASE PRESENTATION: This report concerns a 64-year-old Caucasian @entity1 admitted with severe @entity490 and @entity221 . An emergency laparotomy revealed a large mass with perforation in the proximal jejunum with intense mesenteric thickening and lymphadenopathy. The descending colon was @entity4 and covered with fibrinous exudate. Histopathological examination of the resected segment of jejunum revealed a T cell @entity1893 . On post-operative day 10, a computed tomography scan of our @entity1 's abdomen and pelvis showed leakage of contrast into the pelvis. Re-exploration revealed perforation of the descending colon. The histopathology of the resected colon also showed T cell @entity1893 . Her post-operative course was complicated by acute renal and @entity1576 . The @entity1 died on post-operative day 21. CONCLUSIONS: @entity706 has been reported to have a poor prognosis. The synchronous occurrence of lesions in the small intestine or colon is unusual, and impacts the prognosis adversely. Early diagnosis and treatment are important to improve the prognosis of @entity29 in @entity1 with @entity1893 .
