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KMID : 0371619980140020339
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Journal of Wonkwang Medical Science
1998 Volume.14 No. 2 p.339 ~ p.346
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A case report of Crohn’s disease as a initial diagnosis of small bowel malignancy
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Cho Kyoo-Hye
Yoo Kyoung-Hoon
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Abstract
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Crohn’s disease is a chronic, non-specific inflammatory disease of the gastrointestinal tract of unknown etiology, and used to be recognized as a rare inflammatory bowel disease in Korea, but current accumulation of sporadic case reports suggests a gradual increase of its incidence. In Crohn’s disease multiple small bowel strictures may occur and there are usually inflammatory and less likely neoplastic strictures in origin and they can lead to small bowel stasis or obstruction. There have been reports of many disease processes simulating Crohn’s disease such as ulcerative colitis, amebiasis, diverticulitis, tuberculosis and ischemic colitis as well as infiltrating scirrhous carcinoma have all been noted to mimic the radiologic appearance of Crohn’s disease.
We have experienced one patient who had manifestation of acute abdomen and diarrhea, weight loss, and abdominal CT findings that appeared large mass in the ileocecal valve area which considered carcinoid tumor, tentatively diagnosed as Cronh’s disease involving the small bowel compared with large intestine and rectum.
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KEYWORD
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Crohn’s disease, large mass
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