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BMJ Case Reports 2009; doi:10.1136/bcr.10.2008.1117
  • Rare disease

Crohn disease in Nepal: true rarity or gross underdiagnosis?

  1. Smriti Karki1,
  2. Asis Kumar Karak1,
  3. Arvind Kumar Sinha1,
  4. Bipin Kumar1,
  5. Paricha Upadhyaya1,
  6. Sagar Raj Pandey1,
  7. Rajendra Regmi2
  1. 1
    B P Koirala Institute of Health Sciences, Department of Pathology, BPKIHS, Dharan, Nepal
  2. 2
    B P Koirala Institute of Health Sciences, Department of Surgery, BPKIHS, Dharan, Nepal
  1. akkarak{at}hotmail.com
  • Published 5 March 2009

Summary

Gross and histopathological examination of a resected segment of ileum in a 72-year-old man with the preoperative diagnosis of small intestinal perforation peritonitis revealed the first-ever diagnosed case of Crohn Disease (CD) at the B P Koirala Institute of Health Sciences, Dharan, Nepal. In view of the recent reports on rising incidence of CD in neighbouring Asian countries, it was decided to perform an exhaustive literature search to find out the documented prevalence of CD in Nepal. It was surprising to find only a single case of CD from Nepal, occurring in the year 1980, to be documented in English literature. Further, the index case of CD presenting with acute abdomen is of interest since only about 100 cases of CD with small intestinal perforation have been so far reported worldwide.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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