Crohn's disease presenting as toxic megacolon in an elderly man

Systematic review with meta‐analysis: inflammatory bowel disease in the elderly

“…In this respect, some researchers have suggested that clinical symptoms on diagnosis are more subtle in elderly patients than in younger patients, with less diarrhoea, abdominal pain, weight loss, fever and extra‐intestinal manifestations in CD . In a recent study, at the end of follow‐up, only 30% of the elderly patients had complications (stricturing or penetrating) compared with more than 50% of the children; nevertheless, exceptions, such as CD presenting as toxic megacolon, are reported in elderly patients …”