Ahmet BAŞTÜRK, Reha ARTAN, Aygen YILMAZ, Alp ÖZTEK

Çocukluk Yaş Grubunda Kolon Striktürü İle Prezente Olan Crohn Hastalığı: Nadir Bir Olgu

Crohn Hastalığı (CH) tüm gastrointestinal sistemi transmural ve segmental olarak tutabilen multisistemik bir hastalık olup tutulum yerine göre çok çeşitli semptomlar ile hastalar başvurabilmektedir. On beş yaşında şiddetli karın ağrısı ile başvuran hastada yapılan incelemelerde sağ kolonda darlık gözlenmiş olup CH ile uyumlu saptandı. İzleminde cilde fistülize olan, karın içinde abse gelişen hastanın tedavisinde kortikosteroid, azathiopurin, mesalazin, metotreksat, infliksimab ve antibiyotik tedavisi ile düzelme sağlandı. İzlemde şikayetleri gerileyen hastanın kontrollerinde karın içi abseleri ve kolon darlığı geriledi. Crohn Hastalığında, daha çok erişkin dönemde geç dönem komplikasyonu olarak karşılaştığımız bağırsak striktürü ile prezente olan CH saptadığımız çocuk hastayı sunmak istedik.ABSTRACT Crohn’s Disease (CD) is a multisystemic disease which may affect gastrointestinal system transmural and segmental and patients may present with any kind of symptoms. An investigation on 15-year-old patient who presented with severe abdominal pain revealed narrowing in right colon and found consistent with CD. The patient who devepoled an abcess fistulized to the skin during the follow-up showed improvement after treatment with corticosteroid, azathioprine, mesalazine, methotrexate, infliximab, and antibiotics. During follow-up, intra-abdominal abcesses and narrowing of the colon regressed along with patient’s symptoms. We wanted to present this case where our patient was diagnosed with CD after presenting with colon stricture which is more commonly seen as late stage complication in adult CD.

Anahtar Kelimeler:

Crohn Hastalığı, çocuk, kolon

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