06 February 2026
: Case report 
Filiform Polyposis of the Terminal Ileum as the Initial Manifestation of Crohn’s Disease: A Case Report
Unusual clinical course
Muyin Feng E 1,2, Qili Xiao
AE 1,2*, Delong Mo BF 1,2, Yuting Xu C 1,2, Yan Chen A 3, Chuanjian Lu G 4
DOI: 10.12659/AJCR.951544
Am J Case Rep 2026; 27:e951544
Figure 4 CTE revealed multifocal bowel wall thickening in No. 5–6 small-bowel groups with luminal narrowing, engorged vasa recta, and mesenteric/retroperitoneal lymphadenopathy, consistent with inflammatory pathology (red arrow). Additionally, an irregular soft-tissue density shadow was identified in the terminal ileum. Mild wall thickening with fatty infiltration was observed in the ascending colon-cecum region, suggestive of inflammatory changes.