PULMONARY MANIFESTATION OF INFLAMMATORY BOWEL DISEASE

Abstract

51 year old male patient known case of Asthma for 20 years on regular treatment came to pulmonology OPD with complaints of cough with expectoration for one week associated with noisy breathing. Patient had 3 episodes of loose stools for a month. His past history suggestive repeated episodes of loose stools on and off for 3 years which was managed symptomatically. Routine blood investigations and vitals were normal. A chest radiography revealed nodular opacities in bilateral lower zones. Hence, CT chest was done and showed cystic bronchiectasis with peri bronchial thickening in the central region of both lungs. Colonoscopy was done in view of recurrent diarrhea which revealed nodular mucosa in terminal ileum, lymphoid hyperplasia. Bronchoscopy with BAL was done to rule of aspergillosis and other causes. No signicant abnormalities were seen in Bronchoscopy. The clinical presentation, CT imaging and colonoscopy conrmed diagnosis of IBD with bronchiectasis. Patient was managed with intravenous antibiotics, nebulized bronchodilators and chest physiotherapy.