Thursday, February 09, 2012
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IBD flare-up or something more sinister?
December 2009
In patients with inflammatory bowel disease presenting with acute abdominal pain, local peritoneal signs and mild neutrophilia, how does one distinguish exacerbation of IBD, acute enterocolitis and surgical etiologies? JEAN-PIERRE LEUNG, MD, Calgary, AB
Local tenderness and neutrophilia may just be a flare-up of Crohn’s disease. But in severe ulcerative colitis, local tenderness should prompt a high index of suspicion for a perforation. Other possibilities include unrelated conditions such as acute diverticulitis.
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