title: Accumulation of mesalazine pills in the medium ileum in a patient with Crohn´s disease.
abstract: Crohn´s disease is an inflammatory disease that can involve any portion of the gastrointestinal tract, although terminal ileum is the most commonly affected portion. It is characterized by a transmural and discontinuous distribution pattern, with alternating periods of active disease and remission. We present the case of a 23-year-old patient diagnosed with Crohn´s disease, in treatment with extended release Mesalazine and corticoids. The CT Enterography showed activity signs and a great dilatation of medium ileum with lots of Mesalazine pills accumulated inside. Pill accumulation occurred because of stenosis, which did not let the pills at this level progress to distal ileum, and be absorbed.
authors.affiliation: Radiodiagnóstico, Complejo Hospitalario Universitario de Granada, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Martínez Huertas
authors.affiliation: Radiodiagnóstico, Complejo Hospitalario Universitario de Granada.
authors.forename: Paloma
authors.initials: P
authors.lastname: Garcia-Villanova Ruiz
authors.affiliation: Radiodiagnóstico, Complejo Hospitalario Universitario de Granada.
authors.forename: José
authors.initials: J
authors.lastname: Pozo Sánchez
authors.affiliation: Radiodiagnóstico, Complejo Hospitalario Universitario de Granada.
authors.forename: Cristina
authors.initials: C
authors.lastname: Dávila Arias
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D003424:Crohn Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D003692:Delayed-Action Preparations / Q000009:adverse effects; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging*; D008297:Male; D019804:Mesalamine / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D003692:Delayed-Action Preparations; D019804:Mesalamine