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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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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. |
format | Online Article Text |
id | pubmed-8606843 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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