MULTIPLE COMPLICATIONS OF GRANULOMATOUS COLITIS (RARE CASE)

Abstract

Granulomatous colitis is a chronic transmural disease of unknown etiology of gastro-intestinal tract. It can affect any area of the GI tract. In recent decades, there has been an increase in the number of cases of the disease, which can be explained by the improvement of diagnostic methods on the one hand, and the deterioration of environmental factors on the other hand. The main intestinal complications of granulomatous colitis are: obstruction, perforation, bleeding from the intestine, internal and external fistulas, toxic megacolon, malignancy, perianal lesions (fistulas, strictures and abscesses). In the article, we describe the history of a patient with granulomatous colitis who, due to the recurrence of the disease and several different complications (perforation of the small intestine, malignancy, toxic dilatation of the large intestine, dermatitis, and perianal lesions such as fistulas and strictures), underwent several surgeries of various volumes. Accordingly, surgical intervention plays a key role in the treatment of complications of Granulomatous disease. During surgical intervention it is critically important to perform an economical resection of the intestine as much as possible to spare the functioning length of the intestine and avoid the development of short bowel syndrome.