Stenosis of the proximal intestine in Crohn's disease – a case report

A 34 year old male patient was referred to our department with heartburn, progressive sickness, vomiting, intermittent upper abdominal pain, feeling of early saturation and weight loss of 10kg within 4 months. An ultrasound scan 4 weeks before had been considered normal and a gastroscopy had revealed signs of gastritis with no effect of a proton pump inhibitor therapy. The ultrasound scan focussed on the upper GI-tract. There was a far stretching stenosis of the proximal jejunum with widening of the mucosal layer, multiple paraintestinal lymph nodes and an accelerated flow of the mesenteric superior artery. Thes…