Abstract

REY, Adriana Margarita et al. A Case Report of Fibro-Stenotic Crohn’s Disease in the Middle Ileum as the Initial Manifestation. Rev Col Gastroenterol [online]. 2017, vol.32, n.4, pp.386-389. ISSN 0120-9957.  https://doi.org/10.22516/25007440.185.

Crohn’s disease (CD) is an inflammatory bowel disease that can affect the entire gastrointestinal tract. The small intestine is affected in about 50% of patients among whom the terminal ileum is the area most commonly affected.

Intestinal stenosis is a common complication in CD and approximately 30% to 50% of patients present stenosis or penetrating lesions at the time of diagnosis. Because conventional endoscopic techniques do not allow evaluation of small bowel lesions, techniques such as enteroscopy and endoscopic video-capsule were developed. Each has advantages and indications.

We present the case of a patient with CD with localized fibrostenosis in the middle ileum which is not a frequent site for this type of lesion.

Keywords : Crohn’s disease; fibrostenosis; small intestine; endoscopic video-capsule; enteroscopy.

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