Crohn's disease confined to the duodenum: A case report  

作　　者：Dong Jin Song Il Soon Whang Hyung Wook Choi Cheol Yun Jeong Sung Hoon Jung 

机构地区：[1]Department of Internal Medicine,Cheil General Hospital and Women’s Healthcare Center, Dankook University College of Medicine

出　　处：《World Journal of Clinical Cases》2016年第6期146-150,共5页世界临床病例杂志

摘　　要：Crohn's disease(CD) can involve any part of the gastrointestinal tract from the mouth to anus. However, gastroduodenal CD is rare with a frequency reported to range between 0.5% and 4.0%. Most patients with gastroduodenal CD have concomitant lesions in the terminal ileum or colon, but isolated gastroduodenal Crohn's disease is an extremely rare presentation of the disease accounting for less than 0.07% of all patients with CD. The symptoms of gastroduodenal CD include epigastric pain, dyspepsia, early satiety, anorexia, nausea, vomiting, and weight loss. The diagnosis of gastroduodenal CD requires a high level of clinical suspicion and can be made by comprehensive clinical evaluation. Here we report a rare case of isolated duodenal CD not confirmed by identification of granuloma on biopsy, but diagnosed by clinical evaluation.Crohn's disease(CD) can involve any part of the gastrointestinal tract from the mouth to anus. However, gastroduodenal CD is rare with a frequency reported to range between 0.5% and 4.0%. Most patients with gastroduodenal CD have concomitant lesions in the terminal ileum or colon, but isolated gastroduodenal Crohn's disease is an extremely rare presentation of the disease accounting for less than 0.07% of all patients with CD. The symptoms of gastroduodenal CD include epigastric pain, dyspepsia, early satiety, anorexia, nausea, vomiting, and weight loss. The diagnosis of gastroduodenal CD requires a high level of clinical suspicion and can be made by comprehensive clinical evaluation. Here we report a rare case of isolated duodenal CD not confirmed by identification of granuloma on biopsy, but diagnosed by clinical evaluation.

关 键 词：Crohn’s DISEASE Crohn’s DISEASE CONFINED to the DUODENUM Isolated GASTRODUODENAL Crohn’s DISEASE High level of CLINICAL SUSPICION Comprehensive CLINICAL evaluation 

分 类 号：R574.51[医药卫生—消化系统]