© 2002 The Fellowship of Postgraduate Medicine
SELF ASSESSMENT QUESTION
Ileal stricture
Terminal ileal stricture
1 Department of Gastroenterology, Stanley Medical College Hospital, Chennai, India
2 GKNM Hospital, Coimbatore, India
3 Leicester General Hospital, Leicester, UK
Correspondence to:
Correspondence to:
Dr V Jayanthi, M 97/5 MIG Flats, Besant Nagar, Chennai 90, India 600 090;
drjayant1@vsnl.com
Accepted 11 June 2002
Answers on p 631.
| The first 150 words of the full text of this article appear below. |
A women, aged 46 years, presented with intermittent periumbilical pain for three years, each episode lasting for 10 to 15 days and at four to six months intervals for three years; antispasmodics often relieved the pain. She also had intermittent diarrhoea. Recently she had an appendicectomy. The retrocaecal appendix was densely adherent to the caecal wall. There was gross thickening of the terminal ileum and mesentery. The postoperative period was uneventful. The appendix showed features of acute inflammation.
Haemoglobin and blood glucose concentrations were normal. A chest x ray film was normal, antimycobacterial antibody was negative, and C reactive protein was normal. Computed tomography confirmed thickening of the mesentery and the bowel wall. Terminal ileoscopy and biopsy were non-contributory. A small bowel enema (fig 1
) was performed.
[in a new window] Figure 1 Enteroclysis showing a smooth stricture of the terminal ileum.
| |||||||||
- What does the small bowel enema show?
- What is the differential
. . . [Full text of this article]
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
Terminal ileal stricture
Postgrad. Med. J. 2002 78: 631.[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
