Gastroenterology, Beijing Shijitan Hospital. Capital Medical University, China.
Gastroenterology, Beijing Shijitan Hospital. Capital Medical University.
Rev Esp Enferm Dig. 2021 Jun;113(6):442-446. doi: 10.17235/reed.2021.7466/2020.
cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare illness. Capsule retention (CR) has been reported in a few cases of CMUSE.
we present four cases of CMUSE with CR. None of the patients showed any symptoms or signs of small bowel obstruction before capsule endoscopy (CE). All patients denied a history of non-steroidal anti-inflammatory drugs intake, radiotherapy treatment or abdominal surgery.
CE disclosed circumferential stenosis with or without ulcers in the small bowel, some accompanied by mucosal edema, white spots and nodules. All patients underwent an elective surgery to remove the retained capsule and resect the lesions.
CE plays a positive role in diagnosing CMUSE. CE findings are as important as CR to alert about the diagnosis of CMUSE.
隐源性多灶性溃疡性狭窄性肠炎（CMUSE）是一种罕见疾病。胶囊滞留（CR）在少数 CMUSE 病例中已有报道。
我们介绍了 4 例 CR 合并 CMUSE 的病例。胶囊内镜（CE）前，所有患者均无小肠梗阻的症状或体征。所有患者均否认有非甾体抗炎药摄入、放疗治疗或腹部手术史。
CE 显示小肠有环状狭窄伴或不伴溃疡，部分伴有黏膜水肿、白斑和结节。所有患者均接受了择期手术以取出滞留的胶囊并切除病变。
CE 在诊断 CMUSE 中具有积极作用。CE 的发现与 CR 一样重要，可以提示 CMUSE 的诊断。
