Sever Exudative Ascites as a Rare Initial Presentation of Crohn's Disease

Ascites in the course of Crohn's diseases is rare and is usually a sign of a concomitant malignancy, infection or thrombosis of portal or hepatic vein. Herein, we reported on a 26-year-old man who was initially admitted with severe Crohn's ileocolitis complicated by copious exudative ascites, abdominal pain and sever diarrhea. In our patient, we could not find any of the aforementioned conditions-there was no evidence of malignancy, portal hypertension or inflammation in any organs other than the bowel. The patient got better after treating with 5-ASA and prednisolone during one year of follow-up.