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Crohn's disease presenting as life-threatening ileal bleeding
C Tysk1, J De Keersmaecker, H Al-Been
1Department of Gastroenterology, Orebro Medical Center Hospital, S-701 85 Orebro, Sweden. curt.tysk@orebroll.se
Saudi Medical Journal
|May 23, 2001
Summary
A severe case of Crohn's disease in a Saudi male presented with life-threatening ileal bleeding, requiring surgery. Successful treatment involved surgical resection and ongoing medical management with mesalamine and vitamin B12.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Crohn's disease is a chronic inflammatory bowel disease.
- Ileal bleeding can be a severe manifestation requiring surgical intervention.
Observation:
- A 32-year-old Saudi male presented with severe, life-threatening ileal bleeding due to Crohn's disease.
- Urgent laparotomy was performed, resecting 100 cm of the ileum and ascending colon.
Findings:
- Histopathology confirmed Crohn's disease with chronic, transmural inflammation and non-caseating granuloma.
- Ziehl-Neelsen staining was negative, ruling out mycobacterial infection.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case highlights the potential severity of Crohn's disease and the necessity of prompt surgical intervention for intractable bleeding.
- Effective long-term management includes medical therapy with mesalamine and vitamin B12 supplementation.