# An Intriguing Endoscopic Case of Asymptomatic Crohn’s Disease

## TL;DR

A 64-year-old man with Crohn's disease has remained mostly symptom-free for decades, but endoscopic exams reveal unusual signs of ongoing disease.

## Contribution

Highlights the clinical variability of Crohn's disease through a rare asymptomatic case with notable endoscopic features.

## Key findings

- The patient showed pseudopolyps and tissue bridges in the colon during a routine colonoscopy.
- Despite being asymptomatic, the endoscopic findings suggest ongoing disease activity.
- The case demonstrates the heterogeneity and unpredictable nature of Crohn's disease progression.

## Abstract

We present the case of a 64-year old male with Crohn’s disease, who has intriguing endoscopic findings. Upon initial diagnosis at age 20, he received steroid therapy, but has not required any further medical intervention. He has remained relatively asymptomatic and keeps a healthy lifestyle. At routine colonoscopy, we identified pseudopolyps as well as tissue bridges within the colon, giving an unusual “swiss cheese” appearance. This case exemplifies the heterogeneity of Crohn’s disease, emphasizing the possibility of finding evidence of ongoing disease despite lack of symptoms.