Small bowel Crohn's disease.
A 65-year-old man with a six-month history of post-prandial
discomfort. He complained of colicky pain, abdominal distension and
borborygmi occurring one hour after meals. A contrast study showed an
obstructing lesion in the mid small bowel. He underwent resection of
the abnormal segment. No other abnormalities were found. The
photograph shows the opened specimen. There is gross dilatation of the
proximal bowel (to the top of the photograph) and circumferential
ulceration within the abnormal segment. This is Crohn's disease of the
mid small bowel which had caused incomplete intestinal obstruction.
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