, Volume 57, Issue 10, pp 2516-2518
Date: 13 Apr 2012

Recurrent Duodenal Stricture Secondary to Untreated Crohn’s Disease

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Case Presentation and Evolution

A 62-year-old woman presented with a 25-year history of intermittent nausea, vomiting, bloating, and a precipitous 50 pound weight loss over the preceding 7 months.

Her digestive symptoms had begun after she had added wheat germ to her diet during her first child in 1976. At that time, she underwent an esophagogastroscopy (EGD); a gastroenterologist diagnosed her with celiac sprue based on a “flat” biopsy in the absence of supporting antibody studies. Over the next two decades, her symptoms were reasonably controlled without any specific treatment. Five years ago, she developed protracted nausea and vomiting attributed to have a duodenal stricture. A strictureplasty was performed for a circumferential stricture with no associated mass between the second and third portions of the duodenum. The diagnosis of reactive follicular hyperplasia was made based on normal flow cytometry and hyperplastic lymphoid follicies with otherwise normal histology. She did well ...