You are here

Article Text

Article menu
Download PDFPDF
Editor’s quiz: GI snapshot
More than meets the eye: a strange cause of bowel obstruction and perforation
  1. Wei-Feng Huang1,2,
  2. Yi Ding3,
  3. Jie Sun4,
  4. Jin-Yan Zhang1,2
  1. 1 Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
  2. 2 The School of Clinical Medicine, Fujian Medical University, Fuzhou, China
  3. 3 Department of Pathology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
  4. 4 Department of Critical Care Medicine, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
  1. Correspondence to Jin-Yan Zhang, Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China; zjywyq2002{at}163.com; Dr Wei-Feng Huang, Department of Gastroenterology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, People's Republic of China; hwf0625{at}xmu.edu.cn

https://doi.org/10.1136/gutjnl-2023-329568

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.

    Case presentation

    A 55-year-old man presented with abdominal distension, vomiting, fever for 3 days and weight loss. He smoked 40 cigarettes and drank 100 g of alcohol per day. He had no documented medical or drug history and no history of receptive anal intercourse. Abdominal examination revealed diffuse tenderness. Laboratory values disclosed neutrophilia (13 720/µL), normocytic anaemia (7.4 g/dL), hypoalbuminaemia (25.2 g/L) and elevated inflammatory markers (C reactive protein of 70.27 mg/L, procalcitonin of 5.200 ng/mL), without eosinophilia (140/µL). HIV serology was negative. Stool was positive for occult blood, but parasite examination was negative. CT of the chest indicated diffuse lung inflammation. Contrast-enhanced CT of the abdominal showed air-filled dilated bowel loops with fluid levels and extensive wall thickening suggestive of small bowel obstruction and active enteritis (figure 1). Gastrointestinal endoscopy showed a 0.5×0.6 cm pyloric ulcer (figure 2A), multiple shallow ulcers in the ileocecal junction (figure 2B) and a deep ulcer …

    View Full Text

    Footnotes

    • Contributors Collection of data: YD and JS. Collection of clinical data and writing: W-FH. Final approval of the manuscript: W-FH and J-YZ.

    • Funding This work was supported by the Medical and Health Guiding Project of Xiamen (3502Z20214ZD1028 and 3502Z20224ZD1009).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.