Çocukluk Yaş Grubunda Kolon Striktürü İle Prezente Olan Crohn Hastalığı: Nadir Bir Olgu

Yıl 2018, Cilt: 16 Sayı: 1, 145 - 154, 01.04.2018

Ahmet Baştürk , Reha Artan Aygen Yılmaz Alp Öztek

Öz

Crohn Hastalığı (CH) tüm gastrointestinal sistemi transmural ve segmental olarak tutabilen
multisistemik bir hastalık olup tutulum yerine göre çok çeşitli semptomlar ile hastalar
başvurabilmektedir. On beş yaşında şiddetli karın ağrısı ile başvuran hastada yapılan incelemelerde
sağ kolonda darlık gözlenmiş olup CH ile uyumlu saptandı. İzleminde cilde fistülize olan, karın içinde
abse gelişen hastanın tedavisinde kortikosteroid, azathiopurin, mesalazin, metotreksat, infliksimab ve
antibiyotik tedavisi ile düzelme sağlandı. İzlemde şikayetleri gerileyen hastanın kontrollerinde karın
içi abseleri ve kolon darlığı geriledi.
Crohn Hastalığında, daha çok erişkin dönemde geç dönem komplikasyonu olarak karşılaştığımız
bağırsak striktürü ile prezente olan CH saptadığımız çocuk hastayı sunmak istedik.

ABSTRACT
Crohn’s Disease (CD) is a multisystemic disease which may affect gastrointestinal system transmural
and segmental and patients may present with any kind of symptoms. An investigation on 15-year-old
patient who presented with severe abdominal pain revealed narrowing in right colon and found
consistent with CD. The patient who devepoled an abcess fistulized to the skin during the follow-up
showed improvement after treatment with corticosteroid, azathioprine, mesalazine, methotrexate,
infliximab, and antibiotics. During follow-up, intra-abdominal abcesses and narrowing of the colon
regressed along with patient’s symptoms. We wanted to present this case where our patient was
diagnosed with CD after presenting with colon stricture which is more commonly seen as late stage
complication in adult CD.
 

Anahtar Kelimeler

Crohn Hastalığı, çocuk, kolon

Kaynakça

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