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Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria

Familial Mediterranean fever (FMF) is an autosomal recessive auto-inflammatory disorder characterized mainly by brief recurrent episodes of peritonitis, pleuritis, and arthritis, usually with accompanying fever. Almost all patients with FMF experience abdominal episodes. Abdominal pain develops, and...

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Autores principales: Ayoub, Kusay, kanjo, Samir, Swed, Sarya, Chawa, Yamane, Alswij, Mahmoud Alhamadeh, Mahli, Nihad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606843/
https://www.ncbi.nlm.nih.gov/pubmed/34840760
http://dx.doi.org/10.1016/j.amsu.2021.103011
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author Ayoub, Kusay
kanjo, Samir
Swed, Sarya
Chawa, Yamane
Alswij, Mahmoud Alhamadeh
Mahli, Nihad
author_facet Ayoub, Kusay
kanjo, Samir
Swed, Sarya
Chawa, Yamane
Alswij, Mahmoud Alhamadeh
Mahli, Nihad
author_sort Ayoub, Kusay
collection PubMed
description Familial Mediterranean fever (FMF) is an autosomal recessive auto-inflammatory disorder characterized mainly by brief recurrent episodes of peritonitis, pleuritis, and arthritis, usually with accompanying fever. Almost all patients with FMF experience abdominal episodes. Abdominal pain develops, and may progress to peritonitis. Intestinal obstruction secondary to adhesions may be observed in FMF patients but this is the first case from Syria. A 17-year-old Syrian female patient presented to our hospital complaining of abdominal pain, frequent vomiting, weight loss and absolute constipation in the past ten days, with a confirmation of her infecting by FMF 3 years ago. The obstruction was treated conservatively and after 6 months we had to treat the obstruction by laparoscopic releasing of abdominal bands as a result of recurrence. The patient was discharged and followed up for 6 months with excellent results. We herein report the first known case of FMF with small bowel obstruction in Syria with delayed in diagnosis. Physicians should be alert to this possible complication when FMF patients arrive at the emergency room.
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spelling pubmed-86068432021-11-26 Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria Ayoub, Kusay kanjo, Samir Swed, Sarya Chawa, Yamane Alswij, Mahmoud Alhamadeh Mahli, Nihad Ann Med Surg (Lond) Case Report Familial Mediterranean fever (FMF) is an autosomal recessive auto-inflammatory disorder characterized mainly by brief recurrent episodes of peritonitis, pleuritis, and arthritis, usually with accompanying fever. Almost all patients with FMF experience abdominal episodes. Abdominal pain develops, and may progress to peritonitis. Intestinal obstruction secondary to adhesions may be observed in FMF patients but this is the first case from Syria. A 17-year-old Syrian female patient presented to our hospital complaining of abdominal pain, frequent vomiting, weight loss and absolute constipation in the past ten days, with a confirmation of her infecting by FMF 3 years ago. The obstruction was treated conservatively and after 6 months we had to treat the obstruction by laparoscopic releasing of abdominal bands as a result of recurrence. The patient was discharged and followed up for 6 months with excellent results. We herein report the first known case of FMF with small bowel obstruction in Syria with delayed in diagnosis. Physicians should be alert to this possible complication when FMF patients arrive at the emergency room. Elsevier 2021-11-03 /pmc/articles/PMC8606843/ /pubmed/34840760 http://dx.doi.org/10.1016/j.amsu.2021.103011 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ayoub, Kusay
kanjo, Samir
Swed, Sarya
Chawa, Yamane
Alswij, Mahmoud Alhamadeh
Mahli, Nihad
Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title_full Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title_fullStr Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title_full_unstemmed Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title_short Delay in diagnosis of intestinal obstruction in a 17 year-old female with Familial Mediterranean fever: The first case report from Syria
title_sort delay in diagnosis of intestinal obstruction in a 17 year-old female with familial mediterranean fever: the first case report from syria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8606843/
https://www.ncbi.nlm.nih.gov/pubmed/34840760
http://dx.doi.org/10.1016/j.amsu.2021.103011
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