[Isolated jejunal Crohn disease].
Crohn Disease (CD) is a chronic granulomatous inflammatory disorder of not well known etiology. It may affect the whole digestive tract, segmentally, from the mouth to the anus although the rectum is usually not involved. Digestive symptoms of CD depend on the location and extension of the disease, its fistulating or stenosing evolution as well as the presence of local or systemic complications. 40% of the patients affected with CD have simultaneous terminal ileal and colonic involvement, 30% have terminal ileitis and 25% have granulomatous colitis. Isolated esophageal, gastroduodenal and perianal affection reach no more than 5% of the patients. We describe a case of a patient affected with CD with isolated jejunal involvement who was admitted to the hospital because of iron deficiency anemia and bowel subocclusion as an atypical clinical manifestation of the disease. After surgical resection of the affected segment of the bowel, the patient became asymptomatic up to now.
Jiménez Sáenz
M
M
Servicio de Aparato Digestivo, Hospital Universitario Virgen Macarena, Sevilla.
García Montes
J M
JM
Pallares Manrique
H
H
Herrerías Gutiérrez
J M
JM
D000747:Anemia, Hypochromic / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology*; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008551:Melena / Q000209:etiology*; D008875:Middle Aged
Enfermedad de Crohn yeyunal aislada.