A Case of Crohn's Disease with Blood Pressure Falling Intestinal Bleeding.
- Author:
Jang Whan BAE
1
;
Byeong Seong KO
;
Doe Hyoung KIM
;
Hyeon Jeong JEON
;
Seon Mee PARK
;
Sei Chin YOUN
;
Sang Jeon LEE
Author Information
1. Department of Internal Medicine, College of Medicine Chungbuk National University, Cheongju, Korea.
- Publication Type:Case Report
- Keywords:
Crohn's disease;
Massive intestinal bleeding
- MeSH:
Abdominal Pain;
Angiography;
Blood Pressure*;
Cecum;
Cicatrix;
Colonoscopy;
Crohn Disease*;
Diagnosis;
Female;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Ileum;
Intestinal Fistula;
Prednisolone;
Sulfasalazine;
Ulcer;
Young Adult
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(2):271-275
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Life-threatening gastrointestinal hemorrhage is a rare complication in Crohn's disease. The authors experienced a case of Crohn's disease manifested with massive lower intestinal bleeding. A 22-year-old woman, who had underwent small bowel resection for bowel perforation and intestinal fistula, was admitted with lower abdominal pain and massive hernatochezia. A radioisotope bleeding scan and mesenteric angiography revealed suspi- cious intestinal bleeding in the small bowel area. The colonoscopy showed multiple shallow ulcers at the terminal ileum and scars on the cecum. In spite of medical management with the diagnosis of Crohn's disease, she continuecl to rebleed and required fistuloplasty and ileal resection. In the surgical specimen was discovered multiple exposed small vessels and diffuse blood oozing at terminal ileum. After surgery, there were no more bleeding episodes and she recovered with the aid treatment of sulfasalazine and prednisolone.
