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Case Reports
. 2017 Apr 28:2017:bcr2016218181.
doi: 10.1136/bcr-2016-218181.

Crohn's disease presenting as gastric outlet obstruction: a therapeutic challenge?

Faisal Inayat  1 , Waqas Ullah  2 , Qulsoom Hussain  3 , Khurram Shafique  4
Affiliations
Case Reports

Crohn's disease presenting as gastric outlet obstruction: a therapeutic challenge?

Faisal Inayat et al. BMJ Case Rep. .

Abstract

Isolated gastric Crohn's disease with initial presentation related to gastric outlet obstruction is an unusual clinicopathological entity. We undertake here a literature review of this rare initial presentation of isolated gastric Crohn's disease and discuss the formidable diagnostic and therapeutic challenges encountered in such patients.

Keywords: Endoscopy; Gastroenterology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
A contrast-enhanced CT showing distended stomach with ingested material.
Figure 2
Figure 2
Enteric contrast material seen through small bowel loops to the level of the hepatic flexure of the colon.
Figure 3
Figure 3
Esophagogastroduodenoscopy revealing erythematous edematous mucosa in stomach.
Figure 4
Figure 4
Upper endoscopy showing pyloric stenosis confirming the partial gastric outlet obstruction.
Figure 5
Figure 5
Histopathological examination of the gastric biopsy specimens showing patchy destruction and microabscesses of the deep gastric glands with relative sparing of the superficial mucosa. Chronic active erosive gastritis was evident.
Figure 6
Figure 6
An uneventful endoscopic balloon dilation of pyloric stenosis was performed.
See this image and copyright information in PMC

References

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