A Case of Crohn’s Disease Admitted with Acute Abdomen Pain

Abstract

Crohn’s disease is an inflammatory disorder and may affect any part of gastrointestinal tract. The signs and symptoms of Crohn’s disease are similar to many other abdominal disorders. Crohn’s disease does not typically present as an acute abdomen. However, Crohn’s disease should be considered in the differential diagnosis of patients with abdominal pain, especially relevant to patients with a long history of vague abdominal complaints and those with unexplained weight loss or growth retardation. In this case report, we present such a patient of acute abdomen admitted to us after appendectomy and diagnosed Crohn’s disease finally.

Keywords

• Crohn’s disease; abdomen; child

A Case of Crohn’s Disease Admitted with Acute Abdomen

Öz

References

1. Podolsky DK. Inflammatory bowel disease. N Engl J Med 2002; 347: 417–429.
2. Stange EF, Travis SP, Vermeire S, Beglinger C, Kupcinkas L, Geboes K, et al. European evidence based consensus on the diagnosis and management of Crohn’s disease: definitions and diagnosis. Gut 2006; 55; 1-15.
3. Laass MW, Roggenbuck D, Conrad K. Diagnosis and classification of Crohn's disease. Autoimmun Rev 2014; 13: 467-471.
4. Shiryajev YN, Volkov NN, Kashintsev AA, Chalenko MV, Radionov YV. Appendectomy and resection of the terminal ileum with secondary severe necrotic changes in acute perforated appendicitis. Am J Case Rep 2015; 16: 37-40.
5. Judge J, Giordano BP, English J. Crohn's disease masquerading as an acute abdomen. J Pediatr Health Care 2014; 28: 444-450.
6. Gupta M, Goyal S, Goyal R. Crohn's disease presenting as acute abdomen: Report of two cases. N Am J Med Sci 2011; 3: 209-211.
7. Shaoul R, Rimar Y, Toubi A, Mogilner J, Polak R, Jaffe M. Crohn's disease and recurrent appendicitis: a case report. World J Gastroenterol 2005 ; 11: 6891-6893.
8. Hsu WF, Wu CS, Wu JM, Chung CS. Ileal Crohn's disease with perforation misdiagnosed as ruptured appendicitis: a case report. J Formos Med Assoc 2013; 112: 652-653.

9. Nugent FW, Roy MA. Duodenal Crohn’s disease: an analysis of 89 cases. Am J Gastroenterol 1989; 84: 249–254
10. Racz JM, Davies W. Severe stricturing Crohn's disease of the duodenum: A case report and review of surgical options. Int J Surg Case Rep 2012; 3: 242-245.