Crohn's disease presenting as life-threatening ileal bleeding

Authors

• Curt Tysk, Department of Gastroenterology, Orebro Medical Center Hospital, S-701 85 Orebro, Sweden. Tel. +46 (19) 6021000. Fax. +46 (19) 6021774. E-mail: curt.tysk{at}orebroll.se.
• Jan De Keersmaecker, Department of Surgery, Al-Hammadi Hospital, Riyadh, Kingdom of Saudi Arabia.
• Hussam Al-Been, Department of Medicine, Al-Hammadi Hospital, Riyadh, Kingdom of Saudi Arabia.
• Talal M. Ahmad, Department of Surgery, Al-Hammadi Hospital, Riyadh, Kingdom of Saudi Arabia.

Abstract

We report a case of Crohn9s disease in a 32-year old Saudi male. The disease presented with severe, life-threatening ileal bleeding necessitating an urgent laparotomy and 100 cm of ileum and ascending colon was resected. The bleeding source was several ulcers in an inflamed ileum and histopathologic examination revealed typical findings of Crohn9s disease with a chronic, transmural inflammation, non-caseating granuloma and the Ziehl-Neelsen stain was negative. The postoperative course was uneventful. On follow-up he is doing well on medical treatment with mesalamine and substitution therapy with vitamin B12.

Article Type

Case Report

First Page

971

Last Page

973

Recommended Citation

Tysk, Curt; Keersmaecker, Jan De; Al-Been, Hussam; and Ahmad, Talal M. (2000) "Crohn's disease presenting as life-threatening ileal bleeding," Saudi Medical Journal: Vol. 21: Iss. 10, Article 16.
DOI: https://doi.org/10.15537/1658-3175.1288