# Simultaneous duodenal and ileocolic obstruction in Crohn’s disease: a case report

## TL;DR

This case report describes a rare instance of Crohn's disease causing blockages in both the duodenum and ileocolic area, highlighting the need for surgery and teamwork in managing complex cases.

## Contribution

The novelty lies in documenting a rare case of simultaneous duodenal and ileocolic obstruction in Crohn’s disease requiring combined surgical interventions.

## Key findings

- A patient with Crohn’s disease presented with obstructive symptoms due to strictures in both the duodenum and ileocolic anastomosis.
- Surgical resection and anastomosis led to successful postoperative recovery and symptom resolution with continued infliximab therapy.
- The case emphasizes the importance of a multidisciplinary approach in managing complex Crohn’s disease.

## Abstract

Duodenal involvement in Crohn’s disease (CD) is a rare phenomenon, often presenting with significant diagnostic and therapeutic challenges. We report the case of a male patient in his early 50s with longstanding CD and prior right hemicolectomy who presented with subacute obstructive symptoms, severe weight loss, and failure of medical therapy including corticosteroids and biologics. Imaging revealed strictures in both the duodenum and the ileocolic anastomosis site. Surgical intervention involved resection of the strictured duodenal segment with duodenojejunostomy and ileocolic resection with primary anastomosis. Postoperative recovery was uneventful, and the patient remained symptom-free during follow-up on infliximab therapy. This case highlights the importance of timely surgical intervention in complex CD and supports a multidisciplinary management approach.