Journal List > Korean J Gastroenterol > v.63(4) > 1007219

Park, Kim, Park, and Jang: A Case of Plummer-Vinson Syndrome Associated with Crohn's Disease

Abstract

Plummer-Vinson syndrome manifests as cervical dysphagia, iron deficiency anemia, an upper esophageal web, and atrophic glossitis. The cause of the esophageal web is thought to be iron deficiency anemia; however, the cause of Plummer-Vinson syndrome has not been established. Crohn's disease is usually accompanied by malnutrition and iron deficiency anemia; however, no case of concomitant Crohn's disease and Plummer-Vinson syndrome with aggravated malnutrition and anemia has been previously reported. Here, we report on a rare case of Plummer-Vinson syndrome in a Crohn's disease patient, which caused malnutrition and constipation.

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Fig. 1.
Esphagogastroduodenoscopic finding. At the upper esophagus (near the upper esophageal sphincter) a white colored circumferential web was noted. The scope could not be passed through the lesion.
kjg-63-244f1.tif
Fig. 2.
Esophagography. A shelf-like filling suspicious for esophageal web defect was observed at the anterior wall with dilatation of the proximal part (A: frontal view, B: lateral view).
kjg-63-244f2.tif
Fig. 3.
Sigmoidoscopic finding. Cobble stone appearance with ulceration and luminal narrowing with stricture was noted at 20 cm from the anal verge.
kjg-63-244f3.tif
Fig. 4.
Abdominal computed tomography. Ascites and terminal ileal wall thickening were observed. The arrow indicates one of the multiple strictures with prestenotic dilatation and bowel wall thickening at the left side colon.
kjg-63-244f4.tif
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