Crohn's Disease Manifesting as a Duodenal Obstruction: An Unusual Case

被引：5

作者：

Shah, Jamil ^{[1
]}

Etienne, Denzil ^{[2
,3
,4
]}

Reddy, Madhavi ^{[2
,3
,4
]}

Kothadia, Jiten P. ^{[5
]}

Shahidullah, Abul ^{[6
]}

Baqui, A. A. M. Abdullahel ^{[3
,4
,7
]}

机构：

[1] Rutgers New Jersey Med Sch, Univ Hosp, Div Gastroenterol & Hepatol, Dept Med, 185 South Orange Ave,Med Sci Bldg,Room H-538, Newark, NJ 07103 USA

[2] Brooklyn Hosp Ctr, Div Gastroenterol & Hepatol, Dept Internal Med, 121 Dekalb Ave, Brooklyn, NY 11201 USA

[3] Icahn Sch Med Mt Sinai, 121 Dekalb Ave, Brooklyn, NY 11201 USA

[4] Mt Sinai Hosp, 121 Dekalb Ave, Brooklyn, NY 11201 USA

[5] Integris Nazih Zuhdi Transplant Inst, Div Transplant Med, 3300 NW Expressway, Oklahoma City, OK 73112 USA

[6] Henry J Carter Specialty Hosp & Nursing Facil, Dept Med, 1752 Pk Ave, New York, NY 10035 USA

[7] Brooklyn Hosp Ctr, Dept Anat Pathol, 121 Dekalb Ave, Brooklyn, NY 11201 USA

来源：

GASTROENTEROLOGY RESEARCH | 2018年 / 11卷 / 06期

关键词：

Duodenal obstruction; Bowel obstruction; SBO; Crohn's disease; Inflammatory bowel disease; IBD;

D O I：

10.14740/gr1105

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We describe a case of a 31-year-old man who presented with a 3-year history of worsening upper abdominal pain, nausea and vomiting: symptoms that were resistant to medical treatment and unexplained despite a thorough diagnostic evaluation. Then, an upper gastrointestinal series with small bowel follow-through showed proximal duodenal dilation and distal decompression of the duodenum, suggestive of a partial duodenal obstruction. An abdominal computed tomography (CT) scan revealed a transition point in the distal duodenum. At surgery, a segmental resection of the distal duodenum with a duo-denojejunal anastomosis was performed. Histopathologic examination of the specimen revealed Crohn's disease. Therefore, making the diagnosis of duodenal obstruction has significant clinical implications and, in the setting of Crohn's disease, is evidence of an underlying intestinal stricture, stenotic area, or adhesion.

引用

页码：436 / 440

页数：5