A rare surgical complication of XXXX : free peritoneal perforation.

@entity1 @entity295 @entity254 @entity30 @entity298
BACKGROUND: Free peritoneal perforation is a rare complication of @entity30 . METHODS: We evaluated the incidence of free peritoneal perforation among 208 @entity1 with @entity30 surgically treated in the period 1992-2000. RESULTS: Five @entity1 (2.4%) suffered from free peritoneal perforation. In 1 @entity1 free peritoneal perforation was the first symptom of @entity30 . In 3 cases the perforation was in the small bowel and in 2 in the large bowel. All @entity1 underwent surgery: all cases had a resection of the involved bowel and in two cases an ileostomy was performed in order to prevent severe @entity298 . We did not observed mortality or major complications. CONCLUSIONS: Free peritoneal perforation is rare with about 100 cases reported in literature. No correlation seems to exist with previous corticosteroid treatment. The surgical treatment is mandatory. Simple suture should be avoided. The most appropriate treatment, whenever it is feasible, is resection of the involved bowel with immediate or, in case of severe @entity295 , delayed @entity254 .
