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Case Reports
. 2010 Sep 7:2010:bcr0320102809.
doi: 10.1136/bcr.03.2010.2809.

Gastric ulcers and swollen kidneys: a rare diagnosis complicating Crohn's disease

C Ormerod  1 , S Sarkar, B Woodcock, D White, S Lal
Affiliations
Case Reports

Gastric ulcers and swollen kidneys: a rare diagnosis complicating Crohn's disease

C Ormerod et al. BMJ Case Rep. .

Abstract

We present a case of a 48-year-old woman with Crohn's colitis admitted with abdominal pain and fever. She had been started on azathioprine 6 months before presentation and had received three doses of infliximab. Abdominal CT scan revealed a liver abscess. Azathioprine was stopped and antibiotics started. She was subsequently discharged with follow-up imaging planned. She presented 3 weeks later with haematemesis. Gastroscopy revealed multiple gastric ulcers. A repeat CT scan showed bilateral renal masses and a renal biopsy was arranged. Gastric and renal biopsies were consistent with B cell lymphoma. Chemotherapy was started and resulted in improvement in CT scan findings as well as ulcer healing.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
CT scan demonstrating a 4.5 cm liver abscess.
Figure 2
Figure 2
Gastroscopy showing a number of gastric ulcers (A). H&E staining of biopsy specimens revealed a large cell infiltrate consistent with lymphoma (B) and subsequent staining with anti-CD20 antibody confirmed large B cell non-Hodgkin's lymphoma (C).
Figure 3
Figure 3
Repeat CT scan demonstrates resolution of the hepatic abscess and a new finding of bilateral renal masses.
See this image and copyright information in PMC

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