Caso endoscópico

• Author(s): Pereira, Fernando
• Date: 2017
• Origin: NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL
• Subject(s): Imaging Cases
• Document Type: Journal article
• Language: Portuguese

Description

A Sara foi observada na consulta de Gastroenterologia Pediátrica aos 10 anos de idade por lhe ter sido diagnosticada anemia hipocrómica e microcítica com parâmetros baixos de ferro sérico.

We present the case of a ten-year-old female patient referred to Gastroenterolgy consultation for abdominal pain and cramping, usually worse after eating, recurring diarrhoea, hypochromic and microcytic anaemia with low serum iron and ferritin levels. Moderate to severe Crohn’s disease of the terminal ileum e right colon (L3) was diagnosed, based on endoscopic image and biopsy. The patient was treated with prednisone and azathioprine, but after one year of treatment she was steroids dependent and treatment was switched to infliximab. One year after beginning this treatment, the patient achieved remission (clinical and laboratorial parameters). A control colonoscopy showed mucosal healing with scars and deformation with stenosis of ileocecal valve (Figures 1-2). Surgical intervention will be probably necessary in near future.