Abstract
The patient presented with an 18-month history of epigastric and back pain, anorexia, and loss of weight. This was associated with postprandial abdominal distention. His bowel habit was normal. Physical examination revealed a tense palpable cecum. A barium enema showed an unusual extrinsic deformity in the mid transverse colon associated with angulation and narrowing of the colon (Figure 56.1). Carcinoma of the pancreas was considered as a possible diagnosis.
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Dietz DW, Lauretti S, Strong SA, Hull TL, Church J, Remi FH, Lavery IC, Fazio VW. Safety and long term efficacy of strictureplasty in 314 patients with obstructing small bowel Crohn’s disease. J. Am. Coll. Surg. 2001;192:330–337.
Strong SA. Crohn’s disease of the small bowel. In: Fazio VW, Church JM, Delaney CP, eds. Current Therapy in Colon and Rectal Surgery. 2nd ed. Philadelpia: Elsevier Mosby, 2004;Ch 77, pp. 459–464.
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(2006). Presentation of Crohn’s Ileitis as an Abdominal Malignancy. In: Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/0-387-36941-4_56
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DOI: https://doi.org/10.1007/0-387-36941-4_56
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