An 8-year child was suffering from recurrent abdomen pain from past 2year. Few symptoms like Poor weight gain, Diarrhea for over 2 months was being observed. On blood sample analysis it was seen that the patient was suffering from Anemia, thrombocytosis and the platelet count was 11 Lakhs. The erythrocyte sedimentation rate was high (ESR). On performing sigmoid colon biopsy, it was seen that the child had mild erosions and mild mucosal edema with non-specific inflammation.
It is suspected that the child might have Small Bowel Crohn's disease or any other differentials
Based on history and lab investigations it looks like child has Crohns disease. The following investigations to be performed- MR Enterography, Full length colonoscopy and Fecal calprotectin.