A Case Report of disseminated and dormant infection in a male patient with history 20 years of Crohn disease

crohn disease(CD) is a disorder of uncertain etiology that is characterized by transmural inflammation of the gastrointestinal tract. CD may involved the entire gastrointestinal tract from mouth to the perianal area.
Case Report: Fifty years old man in with generalized edema, severe weakness, musculoskeletal disorder, scattered abdominal pain, dyspnea, psychotic state and pallor with history 20 years of crohn.
Physical examination: there were tachycardia, blood pressure= and general edema. In lab test anemia and hypo albuminia reported.
Imaging findings: In abdominal X-Ray in lie position the probability of the presence of air in right subdiphramatic area was reported ,which in chest X-Ray in lie position was not clear. In sonography and CT scan there was some fluid with local collection containing debrides which on aspiration pus collection was seen.
Laparatomy: copious pus collection with fibrin and adhesion without any fistulas or free perforation were observed.
penetration of the bowel most often present as an indolent process and not as acute of down part. For diagnosis of this complication, in addition to clinical manifestation use of all diagnostic methods is needed.