Abstract
AbstractSevere gastrointestinal (GI) hemorrhage is a rare initial presentation in Crohn's disease (CD) and poses a therapeutic challenge for clinical care. Currently, there is no conclusive consensus or guideline on the treatment modalities for CD‐related GI bleeding. We present the case of a 21‐year‐old man with acute lower GI bleeding who accepted transcatheter arterial embolization to attain hemostasis. After 1 day of embolization, intractable abdominal pain happened and emergent laparoscopic exploration was arranged. Operation finding reported stenosis and chronic inflammation changes near ileal‐cecal valve. Besides, several bleeding sites and perforation are detected, which is different from splanchnic branch of embolization. Pathology of resected bowel reported transmural acute and chronic inflammation with fibrin and purulent exudates is shown on the serosa. CD is favored. In CD, the most common bleeding site in the literature is located at descending and sigmoid colon. To attain hemostasis, some literature studies raise concerns about embolic‐related complication of intestinal infarction. We would like to share a case of unusual bleeding site and provide consideration of embolization as an option for the treatment of CD.
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