Presentation
Past history of Crohns disease. Now abdominal pain and vomiting. Bowel obstruction or perforation?
Patient Data
Age: 25
Gender: Male
From the case:
Crohn disease presenting as small bowel obstruction
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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 diarrhea. More chronic Crohns disease is associated with bowel obstruction due to the development of fibrous strictures.
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