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 20 October 2017

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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GastroenterologyInflammatory bowel disease

Crohn's disease

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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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Peter Devitt, Adelaide, Australia

Jejunal Crohn's disease.

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