Consultant Corner: Inflammatory Bowel Disease

  • Nidhi MalhotraEmail author
  • I. David Shocket


Due to the chronic and relapsing nature of inflammatory bowel disease (IBD), patients often present for emergency care with a wide variety of complaints. A high index of suspicion is needed to differentiate a typical flare from an emergent complication which can quickly lead to a life-threatening illness with significant morbidity and mortality. Imaging, surgical consultation, and consultation with other subspecialties are often essential as adjuncts to the optimal care of this patient population.


Inflammatory bowel disease emergencies Non-GI emergencies in inflammatory bowel disease Fulminant colitis in ulcerative colitis Intestinal obstruction in Crohn’s disease Intra-abdominal abscess 


  1. 1.
    Cheung O, Regueiro MD. Inflammatory bowel disease emergencies. Gastroenterol Clin N Am. 2003;32(4):1269–88.CrossRefGoogle Scholar
  2. 2.
    Berg DF, Bahadursingh AM, Kaminski DL, Longo WE. Acute surgical emergencies in inflammatory bowel disease. Am J Surg. 2002;184:45–51.CrossRefGoogle Scholar
  3. 3.
    Roy MA. Inflammatory bowel disease. Surg Clin North Am. 1997;77:1419–31.CrossRefGoogle Scholar
  4. 4.
    Knechtle SJ, Davidoff AM, Rice RP. Pneumatosis intestinalis: surgical management and clinical outcome. Ann Surg. 1990;212(2):160.CrossRefGoogle Scholar
  5. 5.
    Cellini C, Safar B, Fleshman J. Surgical management of pyogenic complications of Crohn’s disease. Inflamm Bowel Dis. 2010;16(3):512–7.CrossRefGoogle Scholar
  6. 6.
    Bundred NJ, Dixon JM, Lumsden AB, Gilmour HM, Davies GC. Free perforation in Crohn’s colitis: a ten year review. Dis Colon Rectum. 1985;28:35–7.CrossRefGoogle Scholar
  7. 7.
    Katz S, Schulman N, Levin L. Free perforation in Crohn’s disease: a report of 33 cases and review of literature. Am J Gastroenterol. 1986;81(1):38–43.PubMedGoogle Scholar
  8. 8.
    Ananthakrishnan AN, McGinley EL. Treatment of intra-abdominal abscesses in Crohn’s disease: a nationwide analysis of patterns and outcomes of care. Dig Dis Sci. 2013;58(7):2013–8.CrossRefGoogle Scholar
  9. 9.
    Mao R, Chen BL, He Y, Cui Y, Zeng ZR, Chen MH. Factors associated with progression to surgery in Crohn’s disease patients with endoscopic stricture. Endoscopy. 2014;46(11):956–62.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.MedStar Washington Hospital CenterWashington, DCUSA

Personalised recommendations