Enfermedad de Crohn descubierta en paciente con oclusión intestinal mecánica y ascariasis

Introduction: Crohn's disease is characterized by periods of intestinal inflammation alternating remissions and exacerbations; it is chronic, incurable and has a disabling course due to the development of complications, such as: stenosis, fistulas, granulomas, abscesses and formation of malignant neoplasms from the mouth to the anus. Objective: To demonstrate the diagnostic uncertainty of a disease as protean as Crohn's disease identified in the care of a patient with intestinal obstruction. Case presentation: The case is about a young patient who experienced mesogastric abdominal pain, of colic type, intermittent, accompanied by nausea, vomiting, and intestinal transit obstruction. An intestinal obstruction due to a massive infestation with Ascaris lumbricoides was considered; however, it was caused by Crohn's disease. It was successfully addressed and he recovered without any complications. Conclusions: Crohn's disease sometimes presents in unusual ways and with other associated conditions, which is considered a real challenge for the attending physician.