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Atypical case of Crohn’s colitis in a patient with adult-onset Still’s disease
  1. Anantha Narayanan1,2,
  2. Chris Kim2 and
  3. Elizabeth R Dennett1,2
  1. 1Department of Surgery and Anaesthesia, University of Otago Wellington, Wellington, New Zealand
  2. 2Wellington Regional Hospital, Wellington, New Zealand
  1. Correspondence to Dr Anantha Narayanan; anantha_narayanan{at}hotmail.com

Abstract

A 65-year-old woman with a background of adult-onset Still’s disease (AOSD) presented acutely to a general surgical unit with signs of bowel obstruction and sepsis. A CT scan was indicative of a mesenteric lymphadenopathy suspicious of malignancy. At the time of the surgery, a clinical diagnosis of lymphoma was made given the large number of lymph nodes; however, histological diagnosis was resulted as Crohn’s colitis. There is only one other case of AOSD and Crohn’s disease in the literature, and there is no clear pathological connection between the two inflammatory conditions. This case highlights the surgical management of an unusual presentation.

  • Crohn's disease
  • gastrointestinal surgery
  • general surgery
  • rheumatology

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Footnotes

  • Contributors AN is the primary author. He is responsible for planning, conception and design of the report, literature review, data acquisition, write-up and approval of final draft. CK is responsible for collection and analysis of histological photographs and contribution to write-up. ERD is the supervising author. She is responsible for planning and conception, editing write-up and guidance of literature review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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