Doença de Crohn quiescente no cólon descendente: Um estudo de caso

Abstract

Crohn's Disease (CD) is a chronic inflammatory disease that affects the gastrointestinal tract with a complex and multifactorial etiological basis, the accuracy of which is unknown. This panenteric disease can affect any part of the gastrointestinal tract, from the mouth to the anus, with a greater incidence in the distal portion of the small intestine (ileum) and the colon, and the biggest challenge of CD is diagnosis, due to its similarity with other intestinal diseases such as ulcerative colitis, in the early stages CD may be misdiagnosed as irritable bowel syndrome. Given the difficulty of diagnosis, there is interest in reporting a case of quiescent CD in the descending colon in a 47-year-old female patient, diagnosed with the disease 6 years ago. The patient presented initial symptoms of the disease with abdominal pain and diarrhea, with the diagnosis concluded after 6 months of clinical investigation. Subsequently, drug treatment began in 2018, with significant improvement in the patient's condition after using the drug Entyvio (Vedolizumab®), following the treatment of CD with this drug until 2023. It concluded with this report of In this case, knowledge about CD, especially regarding early detection and appropriate treatment, are considered determining factors for improving the prognosis of CD.