• J Family Med Prim Care · Nov 2019

    Case Reports

    Acute pancreatitis as an initial presentation of Crohn's disease: A case report.

    • Norah Mohammed Almarri, Alaa Jamal Alobaidli, Ahmed Abdullah Almarhabi, and Mohammed Ahmed Alshammari.
    • Gastroenterology Division, Department of Medicine, College of Medicine, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
    • J Family Med Prim Care. 2019 Nov 1; 8 (11): 3752-3754.

    AbstractAcute pancreatitis (AP) is not commonly known to be an extra-intestinal manifestations of Crohn's disease (CD). Several cases have been reported discussing the relation of AP with CD. However, no specific etiological factors for pancreatitis were found, which appears to support the possibility of a relationship between AP and CD. We report a 30-year-old male present with generalized abdominal pain associated with watery diarrhea. Diagnosis of AP was made. A CT abdomen showed pancreatic inflammation with a terminal ileum thickening. Colonoscopy with multiple biopsy was done for the patient, which confirmed the diagnosis of CD. The patient started on adalimumab for 6 months, showed good response, and became symptomatically free. No recurrent attacks after 2 years of follow-up. The association between AP and CD is not yet clear. Therefore, patients presenting with idiopathic pancreatitis should be investigated to rule out the coexistence of IBD for better outcome.Copyright: © 2019 Journal of Family Medicine and Primary Care.

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