Crohn’s disease is an idiopathic inflammatory disorder which can affect any segment of the digestive tract. Generally considered uncommon and often underestimated, it can endanger the patient’s life due to its local and systemic complications. In this article we present the case of a 67-year-old male patient who was admitted for cramping abdominal pain, nonbloody diarrhea, fever and anorexia. He described a 5-year history of similar episodes composed of the same symptoms for which he was admitted. In the past no diagnosis was confirmed and he received no treatment, due to the fact that the episodes were autolimited and the patient didn’t ask for medical attention. In this case surgery was required and the diagnosis of Crohn’s disease was histopathologically confirmed, thus leading to a proper choice of treatment to avoid possible complications.
7. Huchzermeyer, H., Paul, F., Seifert, E., Frohlich, H. & Rasmussen, C.W. (1977). Endoscopic results in five patients with Crohn’s disease of the esophagus. Endoscopy. 8, 75
8. Rankin, G.B., Watts, H.D., Melnyk, C.S. & Kelley, M.L. Jr. (1979). National Cooperative Crohn’s Disease Study: extraintestinal manifestations of perianal complications. Gastroenterology. 77, 914
9. Greenstein, A.J., Sachar, D.B., Smith, H., Janowitz, H.D. & Aufses, A.H. Jr. (1980).\ Patterns of neoplasia in Crohn’s disease and ulcerative colitis. Cancer. 46, 403
10. Day, D.W., Jass, J.R., Price, A.B., Shepherd, N.A., Sloan, J.M., Talbot, I.C., Warren, B.F. & Williams, G.T. (2003). Inflammatory disorders of the small intestine (pp. 288-298); Inflammatory disorders of the large intestine (pp. 504-511). In: Morson and Dawson Gastrointestinal Pathology. Blackwell Science, Blackwell Publishing Company.
11. Heimann, T.M., Miller, F., Martinelli, G., Szporn, A., Greenstein, A.J. & Aufses, A.H. Jr. (1988). Correlation of presence of granulomas with clinical and immunological variables in Crohn’s disease. Arch Surg. 123, 46
12. Pulimood, A.B., Ramakrishna, B.S. & Kurian, G. et al. (1999). Endoscopic mucosal biopsies are useful in distinguishing granulomatous colitis due to Crohn’s disease from tuberculosis. Gut. 45, 537