Cryptogenic Multifocal Ulcerous Stenosing Enteritis: An Exceptionally Rare Disease
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2016, Vol 5, Issue 1
Abstract
Cryptogenic Multifocal Ulcerous Stenosing Enteritis (CMUSE) is a rare idiopathic disease of the small bowel. Its origin and pathophysiology has not been well described. Clinicopathologic features include unexplained ileal strictures with supercial ulceration. We present a case of a 31-year-old HIV positive lady who was admitted with complaints of recurrent abdominal pain and constipation. Laboratory investigations revealed iron deciency anemia. Ultrasonography of the abdomen showed dilated bowel loops and a subsequent barium follow through showed ve strictures in the ileum. Segmental small bowel resection with end-to-end anastomosis was performed. Grossly ileum showed ve ileal strictures. The diagnosis of CMUSE was made on histopathology after ruling out other causes of strictures. The present case highlights the importance of considering CMUSE in patients with chronic or recurrent episodes of intestinal obstruction with multiple small intestinal ulcers and strictures after other common causes have been ruled out.
Authors and Affiliations
Amandeep Kaur , Ramesh Chavan , Ranjit Kangle , Bhagyashri Hungund
Keywords
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