Acute intestinal obstruction as an initial presentation in Crohn's carcinoma

A 40 years old female patient presenting with symptoms of acute intestinal obstruction was diagnosed as a case of adenocarcinoma superimposed on Crohn's disease. The diagnosis, as happens in most of these cases, was established post-operatively on the basis of histopathological examination. Acute intestinal obstruction due to adenocarcinoma in Crohn's disease as an initial presentation is very uncommon especially in this geographical area where Crohn's disease in itself is an uncommon disease entity.