Article Text

Download PDFPDF
Reminder of important clinical lesson
Gastric ulcers and swollen kidneys: a rare diagnosis complicating Crohn's disease
  1. C Ormerod1,
  2. S Sarkar2,
  3. B Woodcock3,
  4. D White4,
  5. S Lal5
  1. 1Department of Gastroenterology, University Hospital Aintree, Liverpool, UK
  2. 2Department of Gastroenterology, Royal Liverpool University Hospital, Liverpool, UK
  3. 3Department of Haematology, University Hospital Aintree, Liverpool, UK
  4. 4Department of Radiology, University Hospital Aintree, Liverpool UK
  5. 5Intestinal Failure Unit, Salford Royal NHS Foundation Trust, Salford, UK
  1. Correspondence to C Ormerod, clareormerod{at}hotmail.com

Summary

We present a case of a 48-year-old woman with Crohn's colitis admitted with abdominal pain and fever. She had been started on azathioprine 6 months before presentation and had received three doses of infliximab.

Abdominal CT scan revealed a liver abscess. Azathioprine was stopped and antibiotics started. She was subsequently discharged with follow-up imaging planned.

She presented 3 weeks later with haematemesis. Gastroscopy revealed multiple gastric ulcers. A repeat CT scan showed bilateral renal masses and a renal biopsy was arranged. Gastric and renal biopsies were consistent with B cell lymphoma. Chemotherapy was started and resulted in improvement in CT scan findings as well as ulcer healing.

View Full Text

Statistics from Altmetric.com

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.