Crohn disease presenting as small bowel obstruction

Case contributed by Dr Chris O'Donnell


Past history of Crohns disease. Now abdominal pain and vomiting. Bowel obstruction or perforation?

Patient Data

Age: 25
Gender: Male

Marked fluid-filled dilatation of small bowel loops with abrupt transition to uniformly thick-walled terminal ileum showing "fat halo" and "comb" signs indicative of inflammatory bowel disease.

Case Discussion

It is unusual for an acute flare-up of Crohns disease to cause mechanical small bowel obstruction rather pain and diarrhoea.  More chronic Crohns disease is associated with bowel obstruction due to the development of fibrous strictures.

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Case information

rID: 27956
Published: 27th Feb 2014
Last edited: 3rd Nov 2015
Inclusion in quiz mode: Excluded

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