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Crohn disease in Nepal: true rarity or gross underdiagnosis?
MedLine Citation:
PMID:  21686455     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Gross and histopathological examination of a resected segment of ileum in a 72-year-old man with the preoperative diagnosis of small intestinal perforation peritonitis revealed the first-ever diagnosed case of Crohn Disease (CD) at the B P Koirala Institute of Health Sciences, Dharan, Nepal. In view of the recent reports on rising incidence of CD in neighbouring Asian countries, it was decided to perform an exhaustive literature search to find out the documented prevalence of CD in Nepal. It was surprising to find only a single case of CD from Nepal, occurring in the year 1980, to be documented in English literature. Further, the index case of CD presenting with acute abdomen is of interest since only about 100 cases of CD with small intestinal perforation have been so far reported worldwide.
Authors:
Smriti Karki; Asis Kumar Karak; Arvind Kumar Sinha; Bipin Kumar; Paricha Upadhyaya; Sagar Raj Pandey; Rajendra Regmi
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Publication Detail:
Type:  Journal Article     Date:  2009-03-05
Journal Detail:
Title:  BMJ case reports     Volume:  2009     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2009  
Date Detail:
Created Date:  2011-06-20     Completed Date:  2011-11-10     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  -    
Affiliation:
B P Koirala Institute of Health Sciences, Department of Pathology, BPKIHS, Dharan, Nepal.
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