Crohn’s disease penetrating form. Difficulties of diagnostics and preoperative planning (clinical case)

AIM: to demonstrate the difficulties of differential diagnosis penetrating variant Crohn’s disease and malignant neoplasm intestine. PATIENTS AND METHODS: a clinical case patient an older age group with onset is presented. RESULTS: according results urgent check-up on day admission, had abdominal mass in right iliac region, involving intestinal wall, anterior complicated by acute obstruction. Preliminary diagnosis: colon tumor inflammation The patient’s condition two life-threatening complications required surgical intervention — extended right-sided hemicolectomy. primary histological examination also did not allow us exclude nature, but second revision histology immunohistochemical analysis made it possible establish disease. CONCLUSION: can debut at any age, including forms. This requires inclusion this pathology neoplasms intestine, especially when changes are located region. will help optimize approach.