November 12, 2014
Notes: Kim, Shin Hee
Moon, Jong Ho
Choi, Hyun Jong
Kim, Dong Choon
Lee, Tae Hoon
Cheon, Young Koog
Cho, Young Deok
Endoscopy. 2013 Oct;45(10):838-41. doi: 10.1055/s-0033-1344392. Epub 2013 Aug 5.
Author Address: Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon and Seoul, Korea.
Reference Type: Journal Article
Record Number: 5009Author: Knafelz, D., Panetta, F., Monti, L., Bracci, F., Papadatou, B., Torre, G., Dall’Oglio, L. and Diamanti, A.
Title: Chronic pancreatitis as presentation of Crohn’s disease in a child
Journal: World J Gastroenterol
Date: Aug 21
Short Title: Chronic pancreatitis as presentation of Crohn’s disease in a child
Alternate Journal: World journal of gastroenterology : WJG
ISSN: 2219-2840 (Electronic)
Accession Number: 23964160
Gastrointestinal Agents/therapeutic use
Immunosuppressive Agents/therapeutic use
Predictive Value of Tests
Abstract: It is reported that a pancreatic disease may precede the diagnosis of inflammatory bowel disease (IBD) both in children and in adults. Idiopathic chronic pancreatitis, however, occasionally co-exists with the IBD, mainly at pediatric age. We report a case of a patient who progressively developed the features of a chronic pancreatitis, before the diagnosis of Crohn’s Disease (CD). Ten months after the onset of the first episode of pancreatitis the patient developed bloody diarrhea, mucus stools and biochemical findings of inflammation. The colonoscopy revealed a diffuse colitis without involvement of the last loop and the gastroscopy showed inflammation of the iuxta-papillary area. The histological findings confirmed the diagnosis of CD that involved the colon and the duodenum. In conclusion, in children the idiopathic chronic pancreatitis may be an unusual presentation of CD. Thus, if other known cause of chronic pancreatitis are not found, a not invasive work up to exclude the IBD should be warranted. An early coincidental diagnosis of the IBD may delay the progression of the pancreatic disease.