Gastroduodenal Crohn's disease presenting as biliary colic.

A 31-year old physician, with a 15-year history of regional enteritis, presented with a gallstone and biliary colic, who on further work-up proved to have Crohn's disease of the stomach and duodenum. Roentgenographic, endoscopic and biopsy material were all consistent with Crohn's disease of the stomach and duodenum. Response to steroid treatment indicated that the symptoms were secondary to Crohn's disease and, as such, this is the first report of this rare problem. Further, to our knowledge this represents only the ninth endoscopy and only the second biopsy via endoscopy to demonstrate a noncaseating granuloma from the stomach in this disease.