3D Imaging of Crohn's Disease Strictures: A Novel Tool to Enhance Patient Understanding and Support Multidisciplinary...

Small bowel strictures in Crohn's disease vary in morphology and often require multimodal medical, endoscopic, or surgical management. We present a case of a 36-year-old male with multifocal post-operative stricturing small bowel Crohn's disease and recurrent subacute bowel obstructions. Imaging identified five distinct small bowel strictures differing in length, location, and morphology. A novel three-dimensional (3D) reconstruction tool, used alongside magnetic resonance enterography and intestinal ultrasound, enhanced stricture visualization. This approach improved clinical understanding and communication, enabling more effective multidisciplinary planning. It also helped the patient visualize and understand their disease, enhancing shared decision-making and engagement in care.