A 45-year-old female was admitted to the medicine ward with history of backache along with numbness and tingling sensation in her left leg of one-day duration. Her past medical history was very remarkable with chronic diarrhoea of more than 2 years duration, for which she was under regular follow up with gastroenterologists. A diagnosis of Crohn’s disease was made 2 years ago after few weeks’ of chronic diarrhoea.
Her CT scan of the abdomen revealed no abnormalities at that time, and an ileal biopsy as a part of evaluation of chronic diarrhoea showed nonspecific inflammation only. A barium meal follow through (small bowel enema) showed cobble stone appearance of the terminal ileum, and the radiologist suggested it very characteristic of Crohn’s disease. The patient was on Mesalazine 1 gram three times daily and 6-Mercaptopurine 50 mg daily for her Crohn’s disease without significant…
