Autor: |
Shetty AK; Department of Pediatrics, Children's Hospital of New Orleans, Louisiana, USA., Udall J Jr, Schmidt-Sommerfeld E |
Jazyk: |
angličtina |
Zdroj: |
Journal of the National Medical Association [J Natl Med Assoc] 1998 Aug; Vol. 90 (8), pp. 491-2. |
Abstrakt: |
This article reports a case of highly destructive perianal Crohn's disease in a 15-year-old boy who presented with fecal impaction and incontinence. Both upper and lower gastrointestinal tract endoscopy were unrevealing. Treatment with intravenous prednisolone and broad-spectrum antibiotics supplemented by enteral feeding with an elemental diet resulted in prompt recovery. However, healing of his perianal lesions began only after a diverting colostomy. Awareness of this uncommon entity is important because prompt recognition can lead to early institution of appropriate treatment and avoid further morbidity. |
Databáze: |
MEDLINE |
Externí odkaz: |
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