A Very Rare Cause of a Relapsing Para-Oesophageal Abscess
Oesophageal involvement in Crohn’s disease (CD) is uncommon and most often accompanied by involvement of more distal parts. Its presentation is mostly non-specific, and therefore a diagnosis, especially in isolated oesophageal disease, is difficult. We present the case of a 42-year-old male patient...
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2016-04-01
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doaj-b2d5b12c2fec4652a133099c6e666db92020-11-24T22:54:34ZengKarger PublishersCase Reports in Gastroenterology1662-06312016-04-0110113213810.1159/000445183445183A Very Rare Cause of a Relapsing Para-Oesophageal AbscessSimon Peter WespiRemus FreiMichael Christian SulzOesophageal involvement in Crohn’s disease (CD) is uncommon and most often accompanied by involvement of more distal parts. Its presentation is mostly non-specific, and therefore a diagnosis, especially in isolated oesophageal disease, is difficult. We present the case of a 42-year-old male patient who was referred to our gastroenterology department because of a para-oesophageal abscess. Under antibiotic treatment the abscess healed, but despite great diagnostic efforts, its aetiology remained unclear. Three years later the patient was hospitalized again because of an abscess at the same site. Endoscopy showed disseminated ulcerations of the lower oesophagus, raising suspicion of CD. After excluding other possible causes, we made the diagnosis of isolated CD of the oesophagus. We review the available literature on this topic and discuss the clinical presentation, symptoms, endoscopic findings, and histology as well as treatment of oesophageal CD.http://www.karger.com/Article/FullText/445183MediastinumMediastinitisCrohn’s diseaseOesophagusAbscessFistula |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Simon Peter Wespi Remus Frei Michael Christian Sulz |
spellingShingle |
Simon Peter Wespi Remus Frei Michael Christian Sulz A Very Rare Cause of a Relapsing Para-Oesophageal Abscess Case Reports in Gastroenterology Mediastinum Mediastinitis Crohn’s disease Oesophagus Abscess Fistula |
author_facet |
Simon Peter Wespi Remus Frei Michael Christian Sulz |
author_sort |
Simon Peter Wespi |
title |
A Very Rare Cause of a Relapsing Para-Oesophageal Abscess |
title_short |
A Very Rare Cause of a Relapsing Para-Oesophageal Abscess |
title_full |
A Very Rare Cause of a Relapsing Para-Oesophageal Abscess |
title_fullStr |
A Very Rare Cause of a Relapsing Para-Oesophageal Abscess |
title_full_unstemmed |
A Very Rare Cause of a Relapsing Para-Oesophageal Abscess |
title_sort |
very rare cause of a relapsing para-oesophageal abscess |
publisher |
Karger Publishers |
series |
Case Reports in Gastroenterology |
issn |
1662-0631 |
publishDate |
2016-04-01 |
description |
Oesophageal involvement in Crohn’s disease (CD) is uncommon and most often accompanied by involvement of more distal parts. Its presentation is mostly non-specific, and therefore a diagnosis, especially in isolated oesophageal disease, is difficult. We present the case of a 42-year-old male patient who was referred to our gastroenterology department because of a para-oesophageal abscess. Under antibiotic treatment the abscess healed, but despite great diagnostic efforts, its aetiology remained unclear. Three years later the patient was hospitalized again because of an abscess at the same site. Endoscopy showed disseminated ulcerations of the lower oesophagus, raising suspicion of CD. After excluding other possible causes, we made the diagnosis of isolated CD of the oesophagus. We review the available literature on this topic and discuss the clinical presentation, symptoms, endoscopic findings, and histology as well as treatment of oesophageal CD. |
topic |
Mediastinum Mediastinitis Crohn’s disease Oesophagus Abscess Fistula |
url |
http://www.karger.com/Article/FullText/445183 |
work_keys_str_mv |
AT simonpeterwespi averyrarecauseofarelapsingparaoesophagealabscess AT remusfrei averyrarecauseofarelapsingparaoesophagealabscess AT michaelchristiansulz averyrarecauseofarelapsingparaoesophagealabscess AT simonpeterwespi veryrarecauseofarelapsingparaoesophagealabscess AT remusfrei veryrarecauseofarelapsingparaoesophagealabscess AT michaelchristiansulz veryrarecauseofarelapsingparaoesophagealabscess |
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