A Pseudo-Tumoral Form of Crohn’s Disease in an Elderly Patient

Nacer, S.^1*, Haddad, F.¹, Mahtal, H.¹, El Rhaoussi, F. Z.¹, Tahiri, M.¹, Hliwa, W.¹, Bellabah, A.¹, Badre, W.¹,El Hattabi, K.^2,3, Choukri, E. M.^2,3, Bouali, M.^2,3, El Bakouri, A.^2,3, Bensardi, F. Z.^2,3 & Fadil, A.^2,3

¹Department of Gastro-Enterology and Proctology, UHC Ibn Rochd Casablanca, North Africa
²Department of Digestive Surgery, UHC Ibn Rochd Casablanca, North Africa
³Department of Digestive Surgical Emergencies, UHC Ibn Rochd Casablanca, North Africa

Dr. Nacer, S., Department of Gastro-Enterology and Proctology, UHC Ibn Rochd Casablanca, North Africa.

Keywords: Crohn’s Disease; Inflammation; Tumor

Abstract

Crohn’s disease is a chronic inflammatory condition that affects the gastrointestinal tract. It is a rare disease in the elderly. It constitutes a heterogeneous group both in its clinical and progressive presentation. The pseudotumoral form remains exceptional. We report a case of this form, observed in a 80 years old patient who was admitted to emergency for a collection of the right iliac fossa. The surgical exploration found a colonic tumor but the histological examination of the surgical specimen showed an aspect compatible with a Crohn’s disease. The patient was treated with systemic corticosteroids and azathioprine with favorable outcome.

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