A Clinical Case: Incoming Diagnosis of Crohn’s Disease at a Gastroenterologist’s Appointment

Crohn’s disease is a chronic autoimmune disease with an unknown etiology and predominant involvement of the gastrointestinal tract, primarily the small and large intestine. Due to the impact of a huge number of damaging factors, the prevalence of the disease is steadily increasing. The clinical manifestations of Crohn’s disease can be multifaceted, and in many cases can be reduced only to abdominal pain. All that significantly complicate the verification of the disease and obliges the doctor to conduct a thorough differential diagnosis. The presented clinical case indicates defects in its implementation, which was probably due to certain difficulties in collecting anamnesis, the paucity of clinical manifestations, as well as the lack of specificity in the endoscopic and pathomorphological picture. It is worth noting that the diagnosis was also not confirmed by specific laboratory data. As a result, these violations at the diagnostic stage led to incorrect patient management tactics for several years. During the appointment with a gastroenterologist, a correctly performed repeated differential diagnosis made it possible to establish the correct diagnosis and conduct an effective therapy of the disease, as well as to exclude a serious misdiagnosis.