An Atypical Presentation of Crohn's Disease: A Case Report

Abstract

Crohn's disease (CD) is an inflammatory bowel disease affecting any portion of the gastrointestinal tract, usually the terminal ileum and the colon, with clinical manifestations such as diarrhea, fever, and weight loss. Clinical presentation of CD may include complications such as enterovesical fistulas, abscesses, strictures, and perianal disease. CD also classically presents with "skipping lesions," unlike ulcerative colitis (UC), which presents with continuous lesions. It can manifest with a wide range of extra-intestinal symptoms such as pyoderma gangrenosum, aphthous stomatitis, episcleritis, uveitis, and arthritic disease. Such a wide range of presentations leads to diagnostic difficulties, as seen in this case. Treatment modalities include steroids, antibiotics, and surgical removal of affected parts, depending on the extent of the disease. Here, we present a case of a young male who presented with manifestations of mesenteric lymphadenitis and had an intraluminal cecal mass causing obstructive symptoms, and was subsequently diagnosed with CD.

Crohn's disease: An enigmatic variant with gastritis and ileal obstruction

“…Common presentations include abdominal pain, diarrhea, unintentional weight loss, and hematochezia. It is more prevalent in young adults 2 . There are however enigmatic variants that do not present with these telltale symptoms.…”

“…It is more prevalent in young adults. 2 There are however enigmatic variants that do not present with these telltale symptoms. These include those that manifest with obstructive symptoms, dyspeptic symptoms as well as those with more extra‐intestinal than gastrointestinal symptoms such as arthritis, aphthous stomatitis, and uveitis.…”

Crohn Disease with Gastritis and Constipation without Diarrhoea: A Diagnostic Enigma

“…Common presentations include abdominal pain, diarrhea, unintentional weight loss and haematochezia, and is usually seen in young adults. 2 There are however enigmatic variants that do not present with these tell-tale symptoms. These include those that manifest with obstructive symptoms, dyspeptic symptoms as well as those with more extra-intestinal than gastrointestinal symptoms such as arthritis, aphthous stomatitis and uveitis.…”

Wernicke’s Encephalopathy in a Patient With Crohn’s Disease: A Case Report

“…Crohn’s disease (CD) is a chronic and debilitating inflammatory condition of the digestive tract [ 1 ] that impacts the quality of life. Its prevalence varies globally from one region to another, with an increasing incidence rate each year, making it a public health concern [ 2 , 3 ]. CD can lead to nutritional deficiencies resulting from reduced food intake, poor nutrient absorption, medication side effects, and systemic inflammation due to disease activity [ 4 , 5 ].…”