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Crohn Disease Mimicking Tongue Base Neoplasia
Felipe Gómez-Caminero López1, Paloma García-Talavera San Miguel1, Eva Campaña Díaz1
1Departments of Nuclear Medicine.
Clinical Nuclear Medicine
|February 23, 2026
Summary
A 67-year-old man with Crohn disease experienced worsening swallowing difficulties and neck pain. This case highlights potential rare complications of Crohn disease, even with treatment.
Area of Science:
- Gastroenterology and Immunology
- Surgical Gastroenterology
Background:
- Crohn disease is a chronic inflammatory bowel disease.
- Complications can affect various organ systems, including the head and neck.
Purpose of the Study:
- To report a rare case of Crohn disease presenting with oropharyngeal symptoms.
- To discuss the diagnostic and management challenges.
Main Methods:
- Case report of a 67-year-old male with a history of Crohn disease.
- Clinical presentation, medical history, and current treatment were reviewed.
Main Results:
- The patient presented with progressive dysphagia and right submandibular pain.
- His history included ileal disease, anal stenosis, and prior surgery.
- He was on corticosteroids and vedolizumab at presentation.
Conclusions:
- Crohn disease can manifest with unusual symptoms beyond the gastrointestinal tract.
- Multidisciplinary evaluation is crucial for diagnosing and managing complex cases.
Keywords:
18F-fluorodeoxyglucose positron-emission tomography/computed tomography18FFDG PET/CTCrohn's diseasehead and neck cancernon-necrotizing microgranulomasMore Related Videos
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