Duodenal Crohn's disease.

نویسندگان

  • Roberto Spisni
  • Sabina Giusti
  • Chiara Iacconi
  • Patrizia Giusti
  • Piero Berti
  • Massimo Conte
  • Gabriele Materazzi
  • Paolo Miccoli
چکیده

The Authors report on an uncommon case of duodenal Crohn's disease in an adult man. The patient was admitted for a history of epigastric pain, recurrent vomiting, weight loss and low grade fever. He was evaluated with esophagogastroduodenoscopy and with radiological double-contrast technique. Then, due to these untreatable clinical manifestations, he underwents a surgical treatment.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Gastro-duodenal Crohn's Disease.

Gastro-duodenal Crohn's disease is rare. Thirty-one previously reported cases are briefly reviewed; histological confirmation of the diagnosis was not always possible. Details are given of a patient with pyloro-duodenal involvement accompanied by terminal ileitis and appendicitis where surgical specimens were available for study. The differential diagnosis is considered from the clinical and pa...

متن کامل

Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority o...

متن کامل

Surgical Club of the South West

A case of gastro-duodenal Crohn's disease was preSented, in whom there was also intestinal and colonic lnvolvement. He subsequently underwent a partial gastrectomy with Roux-en-Y anastomosis, dissecting the lrst 18ins of jejunum, which was macroscopically involved with Crohn's disease and post-operatively fared very well. As this was an unusual case and gastrou?denal Crohn's disease is relative...

متن کامل

Detection of pseudodiarrhoea by simple clinical assessment of intestinal transit rate.

did not show evidence of Crohn's disease, but there was unequivocal evidence of Crohn's disease elsewhere. Furthermore, the failure of symptoms in patients who do not smoke to respond to treatment suggests peptic ulceration associated with Crohn's disease. Treatment with omeprazole led to prompt relief of symptoms and complete healing of ulceration, which was confirmed by endoscopy. Omeprazole ...

متن کامل

Crohn's disease of the duodenum.

Seven cases of Crohn's disease of the duodenum are presented. They made up 2% of 350 cases of Crohn's disease seen over a period of 15 years. Mean age at onset of Crohn's disease was 22 years (range, 13--47). All patients had other, and most patients severe, lesions elsewhere in the alimentary tract. In three patients the duodenal lesion appeared simultaneously with or within a year of lesions ...

متن کامل

Refractory Duodenal Crohn's Disease Successfully Treated with Infliximab

Crohn's disease (CD) may involve any part of the gastrointestinal tract, from the mouth to the anus. Approximately >90% of cases occur in the small bowel and colon. Upper gastrointestinal involvement, especially duodenal manifestation, is relatively rare. Therefore, adequate medical treatment for duodenal CD has not yet been established. We report a case of CD with duodenal involvement. A 46-ye...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Annali italiani di chirurgia

دوره 78 5  شماره 

صفحات  -

تاریخ انتشار 2007