Journal
GASTROENTEROLOGY RESEARCH
Volume 11, Issue 6, Pages 436-440Publisher
ELMER PRESS INC
DOI: 10.14740/gr1105
Keywords
Duodenal obstruction; Bowel obstruction; SBO; Crohn's disease; Inflammatory bowel disease; IBD
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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.
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