Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 33: An Unusual Cause Ofileocolonic Obstruction (continued)

Ghazaleh Aram, MD

A 25-year-old woman from India presented with a 1.5-year history of abdominal pain, nausea, and vomiting that was progressively worsening. She was admitted to a hospital with a concern for bowel obstruction. She had endoscopy and ultimately an exploratory laparotomy as there was a suspicion for Crohn’s disease vs tuberculosis (TB). The culture from the surgical biopsy specimen was pending at the time of her admission to Johns Hopkins hospital. Past medical history was notable for migratory arthritis and a recent boil on her labia requiring recent incision and drainage. She was married…