Therapeutic strategies in Crohn’s disease in an emergency surgical setting

Figure 1 Intra-abdominal sepsis. A: Abscess in the right iliac fossa, spontaneously draining to the skin, associated with high-flow enteric fistula. Foley catheter placed in the fistulized small intestine; B: Fecal contamination of the peritoneal cavity in a patient with Crohn’s disease with perforation of the transverse colon; C: Open abdomen after treatment of intestinal perforation in Crohn’s disease. Negative pressure intraperitoneal device placement.

Figure 2 Surgical specimen of total intra-abdominal colectomy in patient with acute colitis.

Figure 3 Computed tomography scan. Coronal view and sagittal view showing postoperative recurrence of Crohn’s disease with small bowel stenosis in patient previously treated by colectomy and ileo-anal anastomosis. A: Coronal view; B: Sagittal view.