克罗恩病(CD)是一种影响胃肠道任何部分的炎症性肠病,通常是回肠末端和结肠,有腹泻等临床表现,发烧,和减肥。CD的临床表现可能包括肠膀胱瘘等并发症,脓肿,狭窄,和肛周疾病。CD也典型地表现为“跳跃病变”,“与溃疡性结肠炎(UC)不同,表现出持续的病变。它可以表现为广泛的肠道外症状,如坏疽性脓皮病,口疮性口炎,上巩膜炎,葡萄膜炎,和关节炎疾病。如此广泛的介绍会导致诊断困难,正如在这个案例中看到的。治疗方式包括类固醇,抗生素,手术切除受影响的部位,取决于疾病的程度。这里,我们介绍了一例年轻男性,表现为肠系膜淋巴结炎,并有腔内盲肠肿块引起阻塞性症状,随后被诊断为CD。
Crohn\'s disease (CD) is an inflammatory bowel disease affecting any portion of the gastrointestinal tract, usually the terminal ileum and the colon, with clinical manifestations such as diarrhea, fever, and weight loss. Clinical presentation of CD may include complications such as enterovesical fistulas, abscesses, strictures, and perianal disease. CD also classically presents with \"skipping lesions,\" unlike ulcerative colitis (UC), which presents with continuous lesions. It can manifest with a wide range of extra-intestinal symptoms such as pyoderma gangrenosum, aphthous stomatitis, episcleritis, uveitis, and arthritic disease. Such a wide range of presentations leads to diagnostic difficulties, as seen in this
case. Treatment modalities include steroids, antibiotics, and surgical removal of affected parts, depending on the extent of the disease. Here, we present a
case of a young male who presented with manifestations of mesenteric lymphadenitis and had an intraluminal cecal mass causing obstructive symptoms, and was subsequently diagnosed with CD.