An Intriguing Endoscopic Case of Asymptomatic Crohn's Disease. (5th September 2013)

• Record Type: Journal Article
• Authors: Boules, Mena; Gordon, Ilyssa O.; Kirsh, Brian; Rizk, Maged K.
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 1:Number 3(2013)
• Publication Date: 2013-09-05
• Subjects: asymptomatic Crohn's disease -- endoscopic case of Crohn's disease; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709613503314
• Languages: English
• ISSNs: 2324-7096

Abstract

We present the case of a 64-year old male with Crohn's disease, who has intriguing endoscopic findings. Upon initial diagnosis at age 20, he received steroid therapy, but has not required any further medical intervention. He has remained relatively asymptomatic and keeps a healthy lifestyle. At routine colonoscopy, we identified pseudopolyps as well as tissue bridges within the colon, giving an unusual "swiss cheese" appearance. This case exemplifies the heterogeneity of Crohn's disease, emphasizing the possibility of finding evidence of ongoing disease despite lack of symptoms.