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The article presents a case study of a 9 months of age with chronic nonbloody, mucus-like diarrhea, severe malnutrition and Failure to thrive (FTT). It discusses that initially diagnosed with cow milk protein intolerance and gastroesophageal reflux, with no resolution of symptoms following ranitidine and trials of both soy-based and elemental formulas. It also mentions central and peripheral hypotonia with head lag and gross motor delay including inability to sit unsupported.

Crohn disease has a wide spectrum of clinical presentations and rarely can present with complications such as a bowel stricture or fistula. In this case report, we describe a 17-year-old male who presented with a history of recurrent anterior abdominal wall abscesses and dysuria. He was diagnosed with Crohn disease and also found to have a fistulous communication between the terminal ileum and a patent urachus. An ileocecectomy with primary anastomosis and complete resection of the abscess cavity was performed. He is on azathioprine for maintenance therapy and currently in remission. Clinicians should have a high index of suspicion for this complication in Crohn disease patients presenting with symptoms suggestive of urachal anomalies such as suprapubic abdominal pain, dysuria, umbilical discharge, and periumbilical mass. [ABSTRACT FROM AUTHOR]