An unusual presentation of inflammatory bowel disease.
A 32 year-old male presented to his general practitioner for a routine health check. Microscopic haematuria was noted in an otherwise asymptomatic and fit patient. Subsequent investigation was normal apart from abnormal liver function tests for which no cause was found. A cholecystectomy was performed for gallstones which were detected by ultrasound after the patient complained of upper right quadrant pain. Wedge biopsy of the liver at operation was suggestive of cholangitis. A barium enema was performed which revealed ulceration of the transverse colon suggestive of Crohn's disease. The association of cholangitis and inflammatory bowel disease is discussed.
Molitor
P J
PJ
Scott
A
A
D000328:Adult; D015209:Cholangitis, Sclerosing / Q000150:complications*; D002769:Cholelithiasis / Q000601:surgery; D003424:Crohn Disease / Q000150:complications*; D006417:Hematuria / Q000150:complications; D006801:Humans; D008297:Male