Highly destructive perianal Crohn's disease

Avinash K. Shetty, John Udall, Eberhard Schmidt-Sommerfeld

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


This article reports a case of highly destructive perianal Crohn's disease in a 15-year-old boy who presented with fecal impaction and incontinence. Both upper and lower gastrointestinal tract endoscopy were unrevealing. Treatment with intravenous prednisolone and broad-spectrum antibiotics supplemented by enteral feeding with an elemental diet resulted in prompt recovery. However, healing of his perianal lesions began only after a diverting colostomy. Awareness of this uncommon entity is important because prompt recognition can lead to early institution of appropriate treatment and avoid further morbidity.

Original languageEnglish
Pages (from-to)491-492
Number of pages2
JournalJournal of the National Medical Association
Issue number8
Publication statusPublished - 01-08-1998
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • General Medicine


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