Isolated oesophageal Crohn’s disease mimicking oesophageal carcinoma treated by Merendino procedure
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| Názov: | Isolated oesophageal Crohn’s disease mimicking oesophageal carcinoma treated by Merendino procedure |
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| Autori: | Al Zoghbi, Salem, Bohlok, Ali, Moschopoulos, Constantin, Toussaint, Emmanuel, Verset, Laurine, Demetter, Pieter, El Nakadi, Issam |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 104:e17-e20 |
| Informácie o vydavateľovi: | Royal College of Surgeons of England, 2022. |
| Rok vydania: | 2022 |
| Predmety: | Crohn's disease, Esophageal Neoplasms, Isolated involvement, Dysphagia, Sciences bio-médicales et agricoles, Esophageal Diseases, FDG-PET scan, 3. Good health, Diagnosis, Differential, Deglutition Disorders -- etiology, Oesophagus, 03 medical and health sciences, 0302 clinical medicine, Crohn Disease, Diagnosis, Differential, Weight Loss, Crohn Disease -- diagnosis -- surgery, Humans, Female, Esophageal Diseases -- diagnosis -- surgery, Deglutition Disorders, Merendino procedure, Aged |
| Popis: | Oesophageal involvement is a very rare presentation of Crohn’s disease. It can occur as an isolated mass causing dysphagia and can be mistaken for malignancy. Here, we report a case of a 75-year-old woman presenting with dysphagia and weight loss. Gastroscopy showed an ulcerating mass, and her barium swallow showed a bird beak appearance at the level of the gastro-oesophageal junction (GEJ). Repetitive biopsies were inconclusive. Fluorodeoxyglucose-positron emission tomography showed high glucose uptake (standardised uptake value: 10.2) at the level of the GEJ. Endoscopic ultrasound classified the lesion as uT3N1. Step-by-step surgical exploration revealed an oesophageal mass. A frozen section examination showed an absence of malignancy and the presence of inflammatory tissue. A partial oesophagogastrostomy was performed, and reconstruction was achieved by a Merendino procedure. Definitive histopathological examination revealed isolated oesophageal Crohn’s disease. |
| Druh dokumentu: | Article |
| Popis súboru: | 1 full-text file(s): application/pdf |
| Jazyk: | English |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2021.0091 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/34730423 https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2021.0091?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed https://europepmc.org/article/MED/34730423 |
| Prístupové číslo: | edsair.doi.dedup.....580a12ee33308fdad26c3ebb4497c3c7 |
| Databáza: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Oesophageal involvement is a very rare presentation of Crohn’s disease. It can occur as an isolated mass causing dysphagia and can be mistaken for malignancy. Here, we report a case of a 75-year-old woman presenting with dysphagia and weight loss. Gastroscopy showed an ulcerating mass, and her barium swallow showed a bird beak appearance at the level of the gastro-oesophageal junction (GEJ). Repetitive biopsies were inconclusive. Fluorodeoxyglucose-positron emission tomography showed high glucose uptake (standardised uptake value: 10.2) at the level of the GEJ. Endoscopic ultrasound classified the lesion as uT3N1. Step-by-step surgical exploration revealed an oesophageal mass. A frozen section examination showed an absence of malignancy and the presence of inflammatory tissue. A partial oesophagogastrostomy was performed, and reconstruction was achieved by a Merendino procedure. Definitive histopathological examination revealed isolated oesophageal Crohn’s disease. |
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| ISSN: | 14787083 00358843 |
| DOI: | 10.1308/rcsann.2021.0091 |