Clinical History and Imaging Procedures

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A 60 year-old male patient was admited to our institution referring repeated episodes of abdominal cramps and distention, weight loss, fatigue and anorexia. Abdominal radiogram showed dilatation of small bowel loops with few gas-fluid levels (figure1). One regular, concentric stenosis of distal jejunum was noted at enteroclysis (figure 2). The terminal ileum was normal (figure 3) and there were no signs of separation of small bowel loops (figure 4). He also performed a CT scan, which showed discrete small bowel dilatation and enhanced parietal thickening of a jejunal loop, with infiltration of the adjacent mesentery (figure 5). Lymphadenopathy was not present. The patient was submitted to segmental resection of small bowel and histology confirmed Crohn’s Disease.