Childhood Crohn's disease presenting as chronic constipation.
Inflammatory bowel disease (IBD) include Crohn's disease (CD) and ulcerative colitis (UC). In children signs and symptoms of IBD are often non-specific, diagnosis is more difficult than in adults and systemic manifestation as growth failure and delayed puberty are common. While abdominal pain, rectal bleeding and diarrhoea are usual symptoms, constipation represents an unusual presentation of CD or UC. We report a 9-years-old girl with severe constipation, worsening abdominal pain, intermittent fever, diagnosed as CD. To our knowledge, this is a rare case of CD presenting as chronic constipation in children; we can find, in reviewed recent literature, only few report of similar condition.
Deparment of Pediatric, Ospedale "M Raimondi", San Cataldo, CL, Italy. carmendaleo@yahoo.it
Carmen M
CM
D'Aleo
Tamara
T
Sabbi
Pierpacifico
P
Gismondi
Raffaella
R
Scattoni
Pietro
P
Ferrara
D002648:Child; D002908:Chronic Disease; D003248:Constipation / Q000209:etiology*; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D012720:Severity of Illness Index