Crohn's disease presenting as gastric outlet obstruction: a therapeutic challenge?

Faisal Inayat; Waqas Ullah; Qulsoom Hussain; Khurram Shafique

doi:10.1136/bcr-2016-218181

Crohn's disease presenting as gastric outlet obstruction: a therapeutic challenge?

BMJ Case Rep. 2017 Apr 28:2017:bcr2016218181. doi: 10.1136/bcr-2016-218181.

Authors

Faisal Inayat¹, Waqas Ullah², Qulsoom Hussain³, Khurram Shafique⁴

Affiliations

¹ New York-Presbyterian Hospital, Weill Cornell Medical College, New York City, New York, USA.
² University of Arizona, Tucson, Arizona, USA.
³ Shifa International Hospital, Islamabad, Pakistan.
⁴ Department of Pathology, SUNY Downstate Medical Center, New York, USA.

Abstract

Isolated gastric Crohn's disease with initial presentation related to gastric outlet obstruction is an unusual clinicopathological entity. We undertake here a literature review of this rare initial presentation of isolated gastric Crohn's disease and discuss the formidable diagnostic and therapeutic challenges encountered in such patients.

Keywords: Endoscopy; Gastroenterology.

Publication types

Case Reports

MeSH terms

Adult
Crohn Disease / complications*
Crohn Disease / diagnosis
Crohn Disease / pathology*
Endoscopy, Digestive System / methods
Endoscopy, Gastrointestinal / methods
Female
Gastric Outlet Obstruction / complications*
Gastric Outlet Obstruction / diagnostic imaging
Gastric Outlet Obstruction / pathology*
Gastritis / diagnosis
Gastritis / etiology
Humans
Stomach / pathology
Stomach Diseases / pathology
Tomography, X-Ray Computed / methods
Treatment Outcome
Weight Loss