Which complications of Crohn disease may require surgical intervention?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Other complications of Crohn disease that may require operative intervention include free perforation, abscesses, fistulae, toxic megacolon, and massive hemorrhage. More than 10% of patients with Crohn disease have an intra-abdominal or pelvic abscess during their lifetime. Unfortunately, many patients at risk for perforation or abscess will be on corticosteroids, which are known to suppress peritoneal signs and fever and mask the presenting signs of infection. Computed tomography (CT) helps confirm the diagnosis.

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