INTRODUCTION: Acute @entity360 is rare in @entity30 . METHODS: We characterized the clinical features and course of such @entity548 in @entity1 seen at our institution from 1992 to 2000. RESULTS: Five @entity1 had @entity360 during @entity30 . All @entity1 had a known @entity30 , with a mean duration of the disease of 6 years. The source of @entity548 was identified in four @entity1 (80%). Endoscopy was, in all @entity1 , the first diagnostic procedure. An Hartmann total colectomy with closure of the rectal stump and ileostomy was performed in three @entity1 , while two @entity1 with ileal massive @entity548 were treated conservatively. One @entity1 had a recurrence of @entity548 from the small bowel one week later but he didn't required surgical treatment. One @entity1 with pancolic @entity30 died on 10th postoperative day because of @entity177 and septic complications. CONCLUSIONS: @entity360 is rare in @entity30 , with a predilection for site of involvement. The preoperative diagnosis of the site of @entity548 is not easy, and enteroscopy should be mandatory in such @entity1 . Surgery is required for half of cases and recurrent @entity548 should be an appropriate indication for surgery.

Severe XXXX in @entity30 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'bleeding', 'haemorrhage'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"] @entity177 :: ('MESH:D051437', 'Disease') :: ['multiorgan failure'] @entity360 :: ('MESH:D006471', 'Disease') :: ['Gastrointestinal bleeding', 'gastrointestinal bleeding']
@entity360 :: (MESH:D006471,Disease) :: ['gastrointestinal bleeding']
