Gonzalez Adalberto J, Afraz Sadaf, Melendez-Rosado Jose, Schneider Alison
Gastroenterology, Cleveland Clinic Florida, Weston, USA.
Internal Medicine, Cleveland Clinic Florida, Weston, USA.
Cureus. 2022 Jun 25;14(6):e26333. doi: 10.7759/cureus.26333. eCollection 2022 Jun.
Isolated jejunal Crohn's disease (IJCD) is a rare manifestation of small bowel inflammatory disease described in a few case reports. Due to challenges in diagnosis, this condition is overlooked or misdiagnosed in many instances. We present a case that was initially diagnosed as gastroparesis due to a gastric emptying study (GES) revealing delayed stomach clearance, with additional normal imaging and endoscopic examinations. After several imaging studies and a double-balloon enteroscopy (DBE), isolated Crohn's disease was diagnosed and managed with surgical intervention. Isolated Crohn's disease should be considered as a diagnosis in patients with gastroparesis to avoid delays in appropriate treatment and improve prognosis.
孤立性空肠克罗恩病（IJCD）是小肠炎性疾病的一种罕见表现，仅有少数病例报告对此进行过描述。由于诊断存在挑战，这种疾病在很多情况下被忽视或误诊。我们报告一例最初因胃排空研究（GES）显示胃排空延迟而被诊断为胃轻瘫的病例，其他影像学检查和内镜检查均正常。经过多项影像学检查及双气囊小肠镜检查（DBE）后，最终诊断为孤立性克罗恩病，并通过手术干预进行治疗。对于胃轻瘫患者，应考虑孤立性克罗恩病这一诊断，以避免延误恰当治疗并改善预后。
