Highly destructive perianal Crohn's disease.

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