43-year-old female with intermittent diarrhoea, fever and pain in
the right lower quadrant of the abdomen. The symptoms are exacerbated
under physical or emotional stress. Mild anaemia. Partial resection
of the ileum of approximately 30 cm.
-Fixated, resected ileus with obvious wall thickening. Attached
is a part of mesentery with fibrosis. Ulcer with irregular borders.
- Parts of the ulcer
- The entire wall is thickened
- Lymphocytic infiltration in the wall with lymphatic follicles
- Few individual non-caseating epithelioid granulomas in submucosa,
muscularis propria and subserosa
- Clusters of fibrosis in all epithelial wall layers extending into
the attached mesentery
Important: There is no dysplasia of the mucosal epithelium (in
contrast to ulcerative colitis).
Note: Every section of the gastrointestinal tract can be affected
(from mouth to anus). Crohn`s disease can also affect other organs
such as skin, bones, muscle, lungs and liver. It can also trigger
arthritis or erythema nodosum.