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Published on: October 29, 2014
Local peritonitis as the first manifestation of Crohn's disease in a child
Katerina Kambouri1, Stefanos Gardikis1, Maria Agelidou1
1Department of Pediatric Surgery, Alexandroupolis University Hospital, Democritus University of Thrace School of Medicine, Alexandroupolis, Greece.
Insights
Crohn's disease, a gastrointestinal condition, can manifest unusually. This case highlights local peritonitis as an initial symptom in an 11-year-old girl, detailing the treatment approach.
Area of Science:
- Gastroenterology
- Pediatric Medicine
- Inflammatory Bowel Disease
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease.
- CD can affect any part of the gastrointestinal tract.
- Nonspecific presentations of CD can delay diagnosis.
Observation:
- An 11-year-old girl presented with local peritonitis.
- This was the initial clinical manifestation of Crohn's disease.
- The peritonitis was localized and not widespread.
Findings:
- The case demonstrates an atypical initial presentation of Crohn's disease.
- Diagnosis of CD was established following the peritonitis.
- Specific treatment methods were employed for this case.
Implications:
- Highlights the importance of considering CD in pediatric patients with unexplained peritonitis.
- Underscores the diagnostic challenge posed by nonspecific CD presentations.
- Informs treatment strategies for rare initial manifestations of pediatric Crohn's disease.
Abstract:
Crohn's disease (CD) can occur anywhere in the gastrointestinal tract from the mouth to the anus and sometimes it presents in a nonspecific manner. Herein we describe a case of local peritonitis as the first manifestation of CD in an 11-year-old girl, and the subsequent method of treatment.
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