Post-traumatic ileal stenosis: a rare entity not to be confused with Crohn's disease

A 57-year-old woman with a history of polytrauma due to a car accident in March 2023 presented to de Emergency Room one month after this episode with subocclusive symptoms. CT scan revealed a 10cm proximal ileum segment as the reason of the subocclusion. This segment presented wall thickening, vascular engorgement, and inflammatory changes in the surrounding fat. The patient was admitted to the Surgical Department for conservative treatment, and after several days with no amelioration, intravenous corticosteroids were initiated with clinical improvement, patient was discharged on oral corticosteroids and referred to the Gastroenterology Clinic with a suspicion of Crohn's disease. However, the patient suffered two more subocclusive episodes improving with corticosteroids.