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Crohn's disease: disastrous consequences of late diagnosis
S K Chowdhary1, J Harish, B R Thapa
1Department of Pediatric Surgery, PGIMER, Chandigarh. sujitchowdhary@hotmail.com
Indian Journal of Pediatrics
|July 26, 2002
Insights
Chronic perianal abscess in children is rare, often linked to tuberculosis in India. This case highlights Crohn's disease as a cause, stressing the severe outcomes of delayed diagnosis in pediatric cases.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
- Infectious Diseases
Background:
- Chronic and recurrent perianal abscesses are uncommon in pediatric populations.
- Tuberculosis is frequently considered the primary etiology for such presentations in India.
- This case underscores the importance of considering differential diagnoses beyond tuberculosis.
Observation:
- A pediatric case presented with both colonic and perianal disease.
- The clinical presentation mimicked more common etiologies but was ultimately attributed to Crohn's disease.
- Delayed diagnosis led to significant complications.
Findings:
- Crohn's disease can manifest as chronic perianal abscesses in children.
- Early and accurate diagnosis is crucial for effective management.
- Misdiagnosis or delayed diagnosis can lead to severe morbidity.
Implications:
- Highlights the need for a broader differential diagnosis in pediatric perianal abscesses.
- Emphasizes the potential for Crohn's disease in pediatric patients presenting with these symptoms.
- Underscores the critical impact of timely diagnosis and intervention in preventing severe complications in pediatric inflammatory bowel disease.
Abstract:
Chronic and recurrent perianal abscess is an uncommon condition in children. Tuberculosis is thought to be the common etiology for such a presentation in India. We report a case of a child with colonic and perianal disease due to Crohn's disease and emphasize the disastrous complication due to delayed diagnosis.