TWO CASES OF CROHN'S DISEASE WITH DIFFUSE PERITONITIS THAT DEMANDED EMERGENCY OPERATION

We report here two cases of Crohn's disease with diffuse peritonitis that demanded emergency operation. Case 1 involved at 42-year-old man diagnosed as having mechanical ileus due to stenotic lesion of Crohn's disease. Case 2 involved a 61-year-old woman diagnosed as having an intestinal perforation due to longitudinal ulcer of Crohn's disease. They were admitted to the hospital because of severe abdominal pain. And an emergency operation was performed with the diagnosis of diffuse peritonitis on the day of admission in them. In case 1, there were infant head sized dilatation and segmental stenosis in the terminal ileum. Partial resection of the ileum with end to end anastomosis was performed. Resected material revealed multiple ulceration in the mucosa and the diagnosis of Crohn's disease was made histopathologically. In case 2, an intestinal perforation 80cm oral from the Bauhin's valve, mesenteric site, and several ring-shaped stenosis in the anal side ranging about 60cm wre seen intraopertively. The operation was performed same as in case 1, and the diagnosis of Crohn's disease was made histopathologically. They are now in good health and have been free from abdominal pain without ileostomy.