A case report of intestinal obstruction caused by cryptogenic multifocal ulcerous stenosing enteritis
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CASE REPORT
Open Access
A case report of intestinal obstruction caused by cryptogenic multifocal ulcerous stenosing enteritis Cheng Chang1, Chen Jiang2, Yaoyao Miao3, Bin Fang4 and Lili Zhang5*
Abstract Background: Cryptogenic multifocal ulcer stenosing enteritis (CMUSE) is a rare disease characterized by multiple superficial ulcers, stenosis, and obstruction of the small intestine of unknown origin, and the course can recur. Case presentation: We encountered a 62-year-old male patient with intestinal obstruction. The patient was admitted to the hospital for surgical treatment due to intestinal obstruction, and was diagnosed with cryptogenic multifocal ulcer stenosis enteritis due to comprehensive surgery and postoperative pathological considerations. Conclusion: In the future, we will continue to follow up the patient. The present study aims to remind clinicians of this disease, and reduce the incidence of misdiagnosis. Keywords: Cryptogenic multifocal ulcer stenosing enteritis, Intestinal obstruction, Small intestinal ulcer, Small intestinal stenosis
Background Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare idiopathic disease, At present, there are only over 60 cases of CMUSE reported in the world [1], this was first reported in 1964 [2]. This is featured by unexplained small bowel multiple superficial ulcers, stenosis, obstruction, and no biological signs of systematic inflammation, which are prone to recurrence. Hormone therapy is effective for some patients [3]. We encountered a patient with intestinal obstruction, which was very severe, and this patient was admitted to the hospital for immediate surgical treatment. Combined with the intraoperative findings and postoperative pathological diagnosis, the patient was diagnosed as CMUSE.
* Correspondence: [email protected] 5 Department of Radiology, The Affiliated Qingdao Hiser hospital of Qingdao University (Qingdao Hospital of Traditional Chinese Medicine ), Renmin Road 4, Qingdao 266033, Shandong Province, China Full list of author information is available at the end of the article
Case presentation A 62-year-old male patient was admitted to the hospital due to “abdominal pain and abdominal distension for one month, with aggravation for five days”. The patient presented with abdominal pain in the previous one month without obvious inducement, mainly around the umbilicus, paroxysmal, accompanied by abdominal distension, with a small amount of exhaust and defecation. The patient continued to eat without paying attention to this. Five days ago, these symptoms aggravated, and the patient stopped venting and defecating. The patient visited our hospital for treatment and underwent abdominal CT, which revealed small intestinal obstruction (Fig. 1). Physical examination: abdominal distention, intestinal type, total abdominal tenderness, obvious periumbilical, and bowel sounds hyperactive. Laboratory examination: WBC count: 19.61× 109 /L, hemoglobin: 91 g/L, serum albumin 22 g/L, and the remaining assay examination was normal. Previous hi
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