Crohn's disease (CD) is an idiopathic inflammatory bowel disease involving the small and/or large intestine. More than 50% of Western CD patients and up to 88% of Asian CD patients may have small intestinal involvement. Video capsule endoscopy (VCE) has a higher diagnostic yield than small bowel barium radiography and computed tomography enterography for the detection of small intestinal involv...

The last years saw the dawn of a paradigm shift in small bowel investigation and management. Once difficult to approach through both endoscopic and radiologic studies, small bowel evaluation underwent a game-changing revolution with the recent advent of new endoscopic and radiologic technologies. The radiologic revolution came from the development of computed tomography enterography (CTE) and m...

Littoral cell angioma is a rare vascular tumor of the spleen. The pathogenesis is unknown but the lesion is associated with several malignancies and immunological disorders. The diagnosis requires histopathological examination. The malignant potential of this lesion is unknown, which is why splenectomy is recommend for all cases. Symptomatic cases generally suffer from hypersplenism and pyrexia...

Background/Aims As a result of the rapid development of medical diagnostic tools, physicians require concrete evidence to evaluate the effectiveness of the tools. We aimed to investigate the effectiveness and additional diagnostic benefits of capsule endoscopy (CE) in patients with small bowel Crohn's disease (CD). Methods We performed a systematic search of databases, including MEDLINE, EMBA...

OBJECTIVES To provide an overview of less well-known small bowel and mesenteric diseases found at small bowel magnetic resonance (MR) enterography/enteroclysis and to review the imaging findings. MR enterography and enteroclysis are important techniques for evaluation of small bowel diseases. In most centres these techniques are primarily used in Crohn's disease, and most radiologists are famil...

CASE REPORT A33-year-old female with perforating ileal Crohn’s disease (CD) with two prior intestinal resections secondary to symptomatic stenoses was hospitalized at our institution for evaluation of abdominal pain and fever of unknown origin (FUO). She was taking adalimumab 40 mg subcutaneously weekly for treatment of her Crohn’s disease. She presented with a chief complaint of acute severe e...

We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel's diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel's enterolith ileus is very rare with only few cases described in the literature. To our know...

BACKGROUND Mesenteric panniculitis (MP) is mostly an associated sign of an intra-abdominal or systemic inflammatory primary disease. Nevertheless, etiological and differential diagnosis of idiopathic MP can be challenging when an associate primary cause is not in the foreground. METHODS We report here the case of an isolated small bowel Crohn's disease, long time considered as idiopathic MP. ...

g/dL), erythrocyte sedimentation rate (1 mm), and liver enzymes were within normal ranges. Abdominal ultrasound confirmed moderate ascites, and computed tomography enterography ( fig. 1 ) showed diffuse thickening of the gastric and proximal small bowel wall (arrowheads) and peritoneal fluid (arrow). Ascitic fluid analysis after an abdominal tap revealed a serum-ascites albumin gradient <1.1 g/...