Abstract
BACKGROUND: Crohn's disease, a chronic inflammatory bowel disease, is characterized by inflammation of the gastrointestinal tract. While it typically manifests with abdominal pain, diarrhea, and weight loss, atypical presentations may arise, presenting diagnostic challenges. This case report aims to highlight the diagnostic challenges posed by atypical manifestations of Crohn's disease. CASE PRESENTATION: A 31-year-old male sought medical attention in the Emergency Department due to drug-resistant abdominal pain and a distended abdomen. Following a thorough examination, including colonoscopy and surgical consultation, malignancy was suspected, prompting total colectomy and ileum-to-rectum anastomosis. Two large necrotic masses with purulent secretions were discovered in the cecum and sigmoid during the surgical procedure. Subsequent pathology results confirmed the diagnosis of Crohn's disease, with no evidence of inflammation in other organs. The patient experienced a smooth recovery without surgical complications and was subsequently referred to a gastroenterology specialist for further management. CONCLUSION: This case emphasizes the importance of a multidisciplinary approach, including surgical and gastroenterology expertise, in the management and effective treatment of such cases in Crohn's disease.