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01 July 2024 : Case report  China (mainland)

Cryptogenic Multifocal Ulcerating Stenosing Enteropathy: A Rare Case of Small Bowel Stenosis

Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease

Jie Peng1BCE, Yalu Zhang ORCID logo2ABCE, Liang Zhu ORCID logo2DF, Hangcheng Zhou3BF, Hanhui Yao2ADF*

DOI: 10.12659/AJCR.944218

Am J Case Rep 2024; 25:e944218

Figure 1. Auxiliary examination and intraoperative photograph. (A) Plain abdominal radiography showed incomplete intestinal obstruction. The costophrenic angle was sharp, and no obvious signs of free gas were observed under the 2 diaphragms. Abdomen was distended, and there was dilated bowel loops with air-fluid levels in the middle abdomen, which showed a step-like distribution. The small amount of fecal and gas shadows was scattered in some colons. (B) Abdominal enhanced CT showed that some small bowel walls were thickened, about 2.1 cm at the thickest point, and the lumen was significantly narrowed. Red arrows indicate marked thickening of the intestinal wall of the small bowel with luminal narrowing. Green arrows indicate colonic effusion with air-fluid level. (C) Double-balloon enteroscopy showed significant narrowing of the intestinal lumen and difficulty in passing the enteroscope. (D) Photograph of small-intestine stenosis during surgery. Blue arrows indicate the site of stenosis.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923