Abstract
There have been only 26 cases of gastroduodenal Crohn's disease with stenotic lesion reported in Japan. We report a case of resected duodenal Crohn's disease presented with duodenal stenosis in an elderly patient. A 66-year-old man had begun to suffer from nausea and vomiting ten years before. An endoscopic examination found a diffusely granular appearance in the bulbs, and the endoscope could not pass through the duodenum because of a stenosis. An upper GI series examination revealed a marked circular constriction about 3cm in length between the pyloric ring and the second portion of the duodenum. Partial resection of the stomach and duodenum was performed. The resected specimen showed a longitudinal ulceration and a cobblestone appearance in the duodenum. Histopathological examination showed the non-caseating granulomas scattered through the bowel. The patient is alive and well without any signs of recurrence one year after surgery.
