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

Acute 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...

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Main Authors: Norah Mohammed Almarri, Alaa Jamal Alobaidli, Ahmed Abdullah Almarhabi, Mohammed Ahmed Alshammari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3752;epage=3754;aulast=Almarri
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author Norah Mohammed Almarri
Alaa Jamal Alobaidli
Ahmed Abdullah Almarhabi
Mohammed Ahmed Alshammari
author_facet Norah Mohammed Almarri
Alaa Jamal Alobaidli
Ahmed Abdullah Almarhabi
Mohammed Ahmed Alshammari
author_sort Norah Mohammed Almarri
collection DOAJ
description Acute 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.
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spelling doaj.art-fe949dda1d784b0aa74996ad537e20072022-12-22T01:01:24ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-018113752375410.4103/jfmpc.jfmpc_753_19Acute pancreatitis as an initial presentation of Crohn's disease: A case reportNorah Mohammed AlmarriAlaa Jamal AlobaidliAhmed Abdullah AlmarhabiMohammed Ahmed AlshammariAcute 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.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3752;epage=3754;aulast=Almarriacute pancreatitisautoimmune pancreatitiscrohn's diseaseextra-intestinal manifestationinflammatory bowel disease
spellingShingle Norah Mohammed Almarri
Alaa Jamal Alobaidli
Ahmed Abdullah Almarhabi
Mohammed Ahmed Alshammari
Acute pancreatitis as an initial presentation of Crohn's disease: A case report
Journal of Family Medicine and Primary Care
acute pancreatitis
autoimmune pancreatitis
crohn's disease
extra-intestinal manifestation
inflammatory bowel disease
title Acute pancreatitis as an initial presentation of Crohn's disease: A case report
title_full Acute pancreatitis as an initial presentation of Crohn's disease: A case report
title_fullStr Acute pancreatitis as an initial presentation of Crohn's disease: A case report
title_full_unstemmed Acute pancreatitis as an initial presentation of Crohn's disease: A case report
title_short Acute pancreatitis as an initial presentation of Crohn's disease: A case report
title_sort acute pancreatitis as an initial presentation of crohn s disease a case report
topic acute pancreatitis
autoimmune pancreatitis
crohn's disease
extra-intestinal manifestation
inflammatory bowel disease
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3752;epage=3754;aulast=Almarri
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AT ahmedabdullahalmarhabi acutepancreatitisasaninitialpresentationofcrohnsdiseaseacasereport
AT mohammedahmedalshammari acutepancreatitisasaninitialpresentationofcrohnsdiseaseacasereport