ACUTE RELAPSING PANCREATITIS REVEALING CR OHNS-DISEASE

A case of acute relapsing pancreatitis revealing Crohn's disease is re ported. The diagnosis of chronic pancreatitis was highly suspected bec ause of characteristic pain, repeated serum pancreatic enzyme elevatio n and ultrasound, CT-scan, pancreatography, and endosonography data. N one of the classical aetiologies for chronic or acute pancreatitis wer e found. This observation presents some outstanding particularities: a ) pancreatitis revealed Crohn's disease; b) there was no duodenal invo lvement by Crohn's disease, c) the diagnosis of chronic pancreatitis w as higly suspected, dl corticoids induced dramatic improvement of inte stinal and pancreatic manifestations, and the patient remained asympto matic during a two-year follow-up. The efficacy of corticotherapy on p ancreatic disorders suggests a common mechanism explaining the two dis eases.