CROHN´S DISEASE PRESENTING WITH SUBACUTE INTESTINAL OBSTRUCTION

Abstract

Here we report a 35 years old male patient with bilateral lower limb vasculitis like rash, colicky abdominal pain, vomiting, and abdominal distension. the patient was diagnosed with subacute intestinal obstruction and managed conservatively. Ultrasound wasn´t able to point out the cause of obstruction. CT scan showed multiple jejunal and ileal mural wall thickening. Colonoscope was used to reach proximal jejunal loops that showed skip erythematous patches with shallow ulcers that was sampled. Pan colonoscopy was unremarkable. Ileal cannulation showed free distal terminal ileum, but with deep cannulation marked ileal ulcers appeared with multiple aphthous ulcers. Histopathology revealed Crohn’s disease.