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At prior laparotomy, multiple skipped longitudinal ulcers causing perforation and stenosis were identified in the ileum. Crohn’s disease was then diagnosed. Biopsies of the gastric “bamboo trees” demonstrated non-caseating granulomas by serial sections. Gastric involvement in Crohn’s disease seemed rare with classical endoscopic findings, including granular mucosa, aphthoid erosions, and linear ulcers but recent studies have indicated a higher incidence of involvement than previously speculated. Endoscopic findings characterised by swollen longitudinal folds transversed by erosive fissures or linear furrows has been termed “bamboo joint-like appearance” of the gastric body and cardia. This unique finding is quite specific for Crohn’s disease and can be found in half of patients if examined carefully using endoscopic dyes. Focal gastritis is also common in Crohn’s disease and may be helpful in the differential diagnosis of indeterminate colitis. Our patient had suffered from relapsing symptoms despite treatment with sulphasalazine and elemental diet.

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