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Isolated Jejunal Crohn's Disease Masquerading as Gastroparesis
Adalberto J Gonzalez1, Sadaf Afraz2, Jose Melendez-Rosado3
1Gastroenterology, Cleveland Clinic Florida, Weston, USA.
Abstract:
Isolated jejunal Crohn's disease (IJCD) is a rare manifestation of small bowel inflammatory disease described in a few case reports. Due to challenges in diagnosis, this condition is overlooked or misdiagnosed in many instances. We present a case that was initially diagnosed as gastroparesis due to a gastric emptying study (GES) revealing delayed stomach clearance, with additional normal imaging and endoscopic examinations. After several imaging studies and a double-balloon enteroscopy (DBE), isolated Crohn's disease was diagnosed and managed with surgical intervention. Isolated Crohn's disease should be considered as a diagnosis in patients with gastroparesis to avoid delays in appropriate treatment and improve prognosis.
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