Title of article
Severe Lower Gastrointestinal Bleeding in a Patient with Crohn’s Disease: a Case Report and the Review of Literature
Author/Authors
Paragomi ، Pedram نويسنده Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. , , Moradi، Kamran نويسنده , , Khosravi، Pejman نويسنده Clinical Resident, Department of Internal Medicine, School of Medicine , Isfahan University of Medical Sciences (IUMS), Isfahan , , Ansari، Reza نويسنده ,
Issue Information
ماهنامه با شماره پیاپی 0 سال 2015
Pages
3
From page
728
To page
730
Abstract
Crohn’s disease (CD) is rarely presented with lower GI bleeding (LGIB) which eludes the clinician. A 25-year-old lady with severe rectorrhagia was presented with no history of constipation, diarrhea or abdominal pain. Colonoscopy revealed ulcers in the rectum, sigmoid colon, and terminal ileum. Crohn’s pathologic features were detected in the terminal ileum. The bleeding was controlled via supportive care and IV corticosteroid. Recurrent LGIB was managed by prednisolone and azathioprine. The patient had an uneventful recovery. The clinicians should consider CD as a possible diagnosis in severe LGIB. Prednisolone and azathioprine efficiently control acute bleeding episodes and prevent the recurrence.
Journal title
Acta Medica Iranica
Serial Year
2015
Journal title
Acta Medica Iranica
Record number
2385566
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