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Recurrent Small Bowel Obstruction Related to Cryptogenic Multifocal Ulcerating Stenosing Enteropathy
Jack Mlabasati1, Kara Raphael1, Marc Greenwald1
1Division of Gastroenterology & Hepatology, Zucker School of Medicine at Hofstra/Northwell, Northshore University Hospital, Manhasset, NY.
ACG Case Reports Journal
|July 12, 2024
Summary
Cryptogenic multifocal ulcerating stenosing enteropathy is a rare small bowel condition causing strictures and ulcers. This case highlights its diagnosis in a young man initially suspected of having Crohn's disease.
Area of Science:
- Gastroenterology
- Internal Medicine
- Rare Diseases
Background:
- Cryptogenic multifocal ulcerating stenosing enteropathy (CMUSE) is a rare idiopathic small bowel disorder.
- It is characterized by multiple strictures and superficial ulcerations in the small intestine.
- Clubbing can be an associated clinical feature.
Observation:
- A 25-year-old man presented with symptoms of small bowel obstruction.
- Initial diagnosis was suspected Crohn's disease.
- Further investigation led to the diagnosis of CMUSE.
Findings:
- The patient was ultimately diagnosed with cryptogenic multifocal ulcerating stenosing enteropathy.
- This diagnosis was made after initial suspicion of Crohn's disease.
- The case underscores the diagnostic challenges of rare enteropathies.
Implications:
- This case report expands the understanding of CMUSE presentation.
- It emphasizes the importance of considering rare diagnoses in complex gastrointestinal cases.
- Accurate diagnosis of CMUSE is crucial for appropriate patient management.
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