Jejunal Crohn's disease.
A middle-aged woman with a 12-month history of intermittent colicky
abdominal pain. Her symptoms were worse after meals. Otherwise in good
health. A contrast study revealed dilated loops of proximal small
bowel. A narrowed segment of jejunum is apparent. The operative
photograph shows the dilated loop of small bowel and a thickened area
which has produced the obstructed. This was resected. The opened
specimen shows proximal thickened and dilated small bowel, a narrowed
area, and distal collapsed small bowel. Closer inspection shows that
the circumferential lesion is associated with mucosal ulceration and
thickening and narrowing of the bowel wall. The mucosal is ulcerated
and has a cobblestone appearance. This is Crohn's disease.
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