ABSTRACT
Crohn's disease (CD) is a multifactorial polygenic disease characterized by chronic inflammation of the gastrointestinal tract (GIT), often complicated by the development of intestinal strictures and/or formation of fistulas. Several diagnostic criteria have been proposed, usually relying on clinical, endoscopic, radiological or histological features. report a case of Crohn's disease of the entire colon with rectal sparing presenting with recurrent perianal fistula that had earlier on been misdiagnosed and treated for other things. The patient was treated successfully with corticosteroids and aminosalicylates and had since remained stable.
Subject(s)
Colon/pathology , Crohn Disease/diagnosis , Rectal Fistula/drug therapy , Adrenal Cortex Hormones/therapeutic use , Adult , Biopsy , Colonoscopy , Crohn Disease/complications , Crohn Disease/therapy , Diagnosis, Differential , Humans , Male , Rectal Fistula/diagnosis , Rectal Fistula/etiology , Treatment OutcomeABSTRACT
Portal biliopathy (PB) is a term used to describe biliary ductal and gallbladder wall abnormalities seen in patients with portal hypertension. The pathogenesis of PB is not well known. It has been postulated that external pressure of portal cavernoma and/ or ischemia may play a role. We report a case of a patient with PB presenting with obstructive jaundice that involved endoscopic sphincterotomy and stenting.
