Small bowel perforation: an unusual cause

An 80-year-old lady with abdominal pain had a perforated terminal ileum at laparotomy 2 weeks after treatment for Campylobacter jejuni infective colitis. Histology of the excised bowel revealed transmucosal inflammation but no dysplasia or malignancy. Cases of bowel perforation secondary to Campylobacter are more common in children and HIV-positive individuals.