Clinical case of atypical course of Crohn’s disease

Crohn’s disease (CD) is a chronic recurrent inflammatory bowel with wide variety of clinical manifestations – from classical gastrointestinal phenotypes to predominance extraintestinal symptoms. Atypical course CD observed relatively often and manifested damage almost all body systems, including hepatobiliary, immune, hematopoietic, cardiovascular, nervous, as well eyes, skin, lungs kidneys. manifestation precedes intestinal, making diagnosis difficult. The presence various CD, an atypical course, the absence standardized diagnostic criteria can be obstacle for physicians in timely detection effective treatment. Aim: describe case diagnostically difficult patient our clinic complications incompatible life; highlight problem monitoring possible solutions. Results. In presented prevailing displays defeat nervous vascular systems described. During hospitalization, full range tests was performed, consultations related specialists were obtained, but no direct data found. At same time, impossibility performing colonoscopy biopsy, due severity patient’s condition, delayed contributed development life. made posthumously. died result intoxication perforation intestine, intestinal abscess, peritonitis, septicemia. Conclusions. described considered complex interdisciplinary problem, emphasizes importance doctor’s awareness variants disease, methods their assessment ways management. This also presents latest epidemiological on prevalence identifies key areas search patient.