title: A case of ileo-caecal Crohn's disease presenting as acute intestinal obstruction.
abstract: We report a case of 42 year old man who presented with one month history of weight loss, gradual abdominal distension and constipation. X-ray of the abdomen showed features of small gut obstruction. A tight stricture at the ileoceacal junction was found to be the cause of obstruction on laparotomy. Distal ileum was found to be severely inflammed with enlarged regional lymph nodes. Right hemicolectomy with resection of distal ileum was done. Histology revealed non caseating granuloma of Chroh's disease. Crohn's disease is relatively rare in Bangladesh. Recent data suggests rising incidence of Crohn's disease (CD) in the Indian sub-continent.
authors.affiliation: Department of Surgery, Jahirul Islam Medical College Hospital, Bajitpur, Kishoreganj, Bangladesh.
authors.forename: S R
authors.initials: SR
authors.lastname: Islam
authors.forename: Z
authors.initials: Z
authors.lastname: Boksh
authors.forename: M
authors.initials: M
authors.lastname: Ahaduzzaman
authors.forename: A
authors.initials: A
authors.lastname: Barman
mesh_terms: D000208:Acute Disease; D000328:Adult; D002429:Cecal Diseases / Q000150:complications* / Q000175:diagnosis; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000175:diagnosis; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male