Abstract
We present the case of a 64-year old male with Crohn’s disease, who has intriguing endoscopic findings. Upon initial diagnosis at age 20, he received steroid therapy, but has not required any further medical intervention. He has remained relatively asymptomatic and keeps a healthy lifestyle. At routine colonoscopy, we identified pseudopolyps as well as tissue bridges within the colon, giving an unusual “swiss cheese” appearance. This case exemplifies the heterogeneity of Crohn’s disease, emphasizing the possibility of finding evidence of ongoing disease despite lack of symptoms.
Highlights
A 64-year-old man with a 44-year history of Crohn’s disease presented for a routine colonoscopy
The patient’s past medical treatment was a short course of steroid therapy at the initial time of diagnosis but he has not been on maintenance medication since
Pseudopolyps were found within the sigmoid and ascending colon/splenic flexure and these were biopsied (Figure 2)
Summary
A 64-year-old man with a 44-year history of Crohn’s disease presented for a routine colonoscopy. The patient’s past medical treatment was a short course of steroid therapy at the initial time of diagnosis but he has not been on maintenance medication since . The patient has a normal appetite but avoids red meat and alcohol, which can cause bloating.
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