You are here

Article Text

Article menu

Download PDFPDF

Miscellaneous
An unusual case of terminal ileal stricture
Free
  1. D R Gaya1,
  2. A J Morris1,
  3. J J Going2
  1. 1Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK
  2. 2Department of Pathology, Glasgow Royal Infirmary, Glasgow, UK
  1. Correspondence to:
    Dr D Gaya
    Department of Gastroenterology, Wards 8 and 9, Glasgow Royal Infirmary, Castle St, Glasgow G4 0SF, UK; danielgayaaol.com

http://dx.doi.org/10.1136/gut.2004.048769

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Clinical presentation

    A 42 year old unemployed male was referred to the gastroenterology department for investigation of constant severe abdominal pain and profound weight loss (45 kg over an eight month period). Further questioning revealed intermittent diarrhoea, steatorrhoea, and rectal bleeding. He was a smoker of 60 cigarettes per day but denied alcohol excess.

    Examination revealed a cachectic man but no specific positive findings were revealed on systems examination.

    Endoscopy with distal duodenal biopsy, pancrealauryl test, and plain computed tomography of the abdomen were all normal. Colonoscopy revealed normal colonic mucosa.

    Question

    A view of the terminal ileum is shown in fig 1; describe the appearance and the most likely diagnosis(es).

    Figure 1
    Figure 1

     A view of the terminal ileum.

    See page 653 for answer

    This case is submitted by:

    Footnotes

    • Robin Spiller, editor

    Linked Articles

    • Miscellaneous
      EDITOR’S QUIZ: GI SNAPSHOT
      BMJ Publishing Group Ltd and British Society of Gastroenterology
      Gut 2005; 54 653-653 Published Online First: 14 Apr 2005.