Pediatric Crohn's disease presenting with a large calcified
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Calcified abdominal masses in pediatric patients are rare, but raise the suspicion for various diagnoses ranging from intestinal or ovarian neoplasms to infectious etiologies such as tuberculosis or schistomiasis. Additionally, dystrophic calcification has been described as calcium deposition in inflamed or damaged tissues or in setting of enterolithiasis secondary to intestinal stasis. Crohn's Disease (CD) often presents with classic symptoms of abdominal pain, diarrhea and weight loss; resulting from pathologic transmural inflammation most commonly of the terminal ileum. Usual complications of Crohn's, more common in the pediatric than adult populations, include stricture, fistula and abscess formation. We report a case of a previously healthy teenage female initially presenting with symptoms suggestive of Crohn's, with the additional finding of a large, calcified abdominal mass. Ultimately, the calcified mass was found to be a chronic abscess presumed secondary to an ileal perforation from underlying Crohn's disease....

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