Background and Aims. We aim to evaluate the benefit of ultrasound in the assessment of Crohn's disease and to demonstrate its potential contribution to disease management. Methods. We conduct a retrospective review of adult patients with Crohn's disease examined with sonography and colonoscopy within 30 days. Study patients were identified in whom colonoscopy did not access a pathological segme...

A 52-year-old woman was referred to our hospital for analysis of iron deficiency anaemia. Her medical history revealed extirpation of a meningeoma, Graves’ disease and atrial fibrillation. She had no complaints. Physical examination was normal. Laboratory investigations revealed microcytic anaemia (haemoglobin 7.3 mmol/l, mean cell volume 76 fl) and iron deficiency (ferritin 15 μg/l, normally >...

This case report presents the clinical findings, diagnostic evaluation, and treatment options for a 71-year-old female patient with medical history of hypertension, dyslipidemia, recurrent urinary tract infections. The presented chronic abdominal pain as sole symptom. Despite normal laboratory investigations, esophagogastroduodenoscopy ileocolonoscopy were performed. Biopsies obtained from duod...

BACKGROUND AND AIMS Small bowel capsule endoscopy (SBCE) may detect proximal small bowel lesions that have been previously missed by ileocolonoscopy and small bowel imaging in patients with known ileal and/or colonic Crohn's disease (CD). We aimed to evaluate whether the therapeutic management is influenced by SBCE findings. METHODS Retrospective single center study. Inclusion of consecutive ...

A 66-year-old woman was operated on in 1988 for an endometrial adenocarcinoma, after which she received adjuvant radiotherapy. The patient presented with 6month, progressive iron-deficiency anemia. A complete endoscopic study (esophago-gastrosco-duodenoscopy and ileocolonoscopy) was performed; mucosal edema with superficial whitish spots in the terminal ileum (fig. 1A) was observed. Nonspecific...

An endoscopic evaluation, particularly ileocolic mucosal and histological findings, is essential for the diagnosis of inflammatory bowel disease (IBD). The introduction of antitumor necrosis factor agents has changed the therapeutic paradigm of patients with IBD, but an endoscopic evaluation is more important to guide therapeutic decision-making. In the future, endoscopy with a histological eva...

The McKittrick-Wheelock syndrome is a rare cause of severe hydroelectrolyte disorders and fluid depletion as a result of rectal tumor hypersecretion, which can lead to acute renal failure. We report the case of a 70-year-old female who presented with hyponatremia, hypokalemia, hypochloremia, and acute renal failure, due to a watery, mucinous diarrhea. A large rectal villous adenoma was discover...

BACKGROUND  With an increasing number of ileal intubations, isolated terminal ileal ulcers (ITIU) are frequently found during colonoscopies. The present study aimed at studying the etiology and clinical significance of these ulcers in patients having gastrointestinal symptoms. METHODS  This was a prospective observational study performed on consecutive patients who underwent ileocolonoscopy f...