A Rare Cause of Progressive Constipation, Abdominal Distension, and Weight Loss

A 46-year-old man was referred for evaluation of a 1-year history of progressive constipation, bloating, and 40-lb weight loss. These symptoms had previously been attributed to Crohn ’s colitis, but improvement was not achieved after several months of adalimumab. Computed tomography enterography demonstrated prominent distal small bowel dilation with several short segment strictures, bowel wall thickening, and mucosal hyperenhancement (Figure A, arrow). Laparotomy was pursued for surgical management of the strictures.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research