EMERGENCY CASEBOOKS
Fulminant myocarditis: a rare but life-threatening association of Crohn’s disease
Kettering General Hospital NHS Trust, Kettering, Northamptonshire, UK
Correspondence to:
Dr S S Nishtar, Kettering General Hospital NHS Trust, Rothwell Road, Kettering, Northamptonshire NN16 8UZ, UK; snishtar{at}hotmail.com
Myocarditis is an uncommon association of Crohn’s disease. It has been reported to occur independently of inflammatory bowel disease activity. The case history is presented of a young woman admitted to hospital with acute small bowel obstruction as a presentation of active Crohn’s disease which was further complicated by fulminant myocarditis leading to cardiogenic shock. This could have proved fatal if not recognised and managed appropriately. Myocarditis is rare, but it can be a life-threatening association of inflammatory bowel disease which needs early recognition and prompt treatment.
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