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String sign of Kantor in a patient with Crohn's disease
Cristina Rubín de Célix Vargas1, Paula Martín García1, Lourdes Del Campo2
1Aparato Digestivo, Hospital Universitario de La Princesa, España.
Insights
This case study highlights a 29-year-old male with severe Crohn's disease (CD) experiencing acute abdominal symptoms. Further investigation via computerized tomography was initiated to diagnose the cause of his distress.
Area of Science:
- Gastroenterology
- Inflammatory Bowel Disease Research
- Clinical Case Studies
Background:
- Crohn's disease (CD) is a chronic inflammatory bowel disease.
- Structuring ileocolic CD can lead to gastrointestinal complications.
- Established treatments include azathioprine, mesalazine, and infliximab.
Observation:
- A 29-year-old male with a history of structuring ileocolic CD presented with acute abdominal pain, distention, nausea, vomiting, and motility issues.
- Symptoms persisted for three days.
- No other significant medical or surgical history was noted.
Findings:
- The patient's presentation suggested a potential complication of his existing Crohn's disease.
- Abdominal computerized tomography (CT) with intravenous contrast was performed for diagnostic evaluation.
Implications:
- This case underscores the importance of vigilant monitoring in patients with structuring Crohn's disease.
- Prompt diagnostic imaging is crucial for identifying acute complications.
- Understanding disease progression and treatment response is vital for managing CD patients.
Abstract:
We report the case of a 29-year-old male with structuring ileocolic Crohn's disease (CD), diagnosed in 2007 and treated with oral azathioprine, oral mesalazine and intravenous infliximab, without any other surgical or medical history of interest. He presented to the Emergency Room with abdominal distention and pain, nausea, vomiting and motility problems of a three-day duration. An abdominal computerized tomography using intravenous contrast was performed.