ALB and Crohn disease: The risk factors for colonic perforation include increased age, female gender, multiple comorbidities, low body mass index, low plasma albumin level, underlying bowel pathology such as Crohn's disease and previous colonic resection, patients undergoing therapeutic procedures such as polypectomy, dilatation and endoscopic mucosal resection, and patients from an ICU setting.2, 11, 15