A case of Crohn disease presenting as intussusception / 대한내과학회지

ABSTRACT

Intussusception is unusual in adults and rarely reported in patients with Crohn disease. There are a few reports that patients with Crohn disease had intussusception, but all the reported cases have occurred in adult patients who have had prior surgery due to complications of Crohn disease or in children with no prior surgery. We have experienced a case of 51-year-old man who was presented with acute abdominal pain without any other gastrointestinal symptoms, such as hematochezia, diarrhea. Emergency surgery was performed, because there was an evidence of a small intestinal obstruction in the CT scan, resulting from enteroenteric intussusception. The pathologic report was Crohn disease. In this case, the first manifestation of the Crohn disease was an intussusception leading to a small intestinal obstruction. It is worth to report a case of enteroenteric intussusception in an adult with no prior history of Crohn disease or surgery. We believe that this is the first case report of Crohn disease showing intussusception as its first manifestation in Korea.