炎症性肠病的诊治进展,湘雅三医院消化内科王晓艳教授,Case1,ID/CC:A21-year-oldmalepresentswithabdominalpainfor3years.HPI:Healsocomplainofdiarrhea,fistula,weightloss,strictureandwasadmittedtohospitalfor7times.OneyearbeforehewasdiagnosedasCrohnsDisease(A2,L3,B2p).PE:VS:fever(T:38.3),thinandpale(secondarytoanemia);Heartandlungarenormal;abdomensoftwithrightlowerquadranttenderness,visibleperistalsis;Perianalfistula.Labs:ESRandCRPelevated.Bloodrouting,LFT,SPSarenormal.Imaging:Colonoscopeexamination:CrohnsDisease?Pathologicalex
