Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine

Abstract Background CMUSE is a rare disease whose diagnosis remains difficult because the lesion is confined to the small bowel. Case presentation Here, we present a case of 43-year-old female patient suffered chronic abdominal pain for 20 years, and finally diagnosed with CMUSE. Capsule endoscopy w...

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Main Authors: En-Wei Tao, Tian-Hui Zou, Yong-Feng Wang, Jie-Ting Tang, Ying-Xuan Chen, Qin-Yan Gao
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Gastroenterology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12876-019-0962-8
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author En-Wei Tao
Tian-Hui Zou
Yong-Feng Wang
Jie-Ting Tang
Ying-Xuan Chen
Qin-Yan Gao
author_facet En-Wei Tao
Tian-Hui Zou
Yong-Feng Wang
Jie-Ting Tang
Ying-Xuan Chen
Qin-Yan Gao
author_sort En-Wei Tao
collection DOAJ
description Abstract Background CMUSE is a rare disease whose diagnosis remains difficult because the lesion is confined to the small bowel. Case presentation Here, we present a case of 43-year-old female patient suffered chronic abdominal pain for 20 years, and finally diagnosed with CMUSE. Capsule endoscopy was performed when general endoscopic investigation failed to find the lesion, but the capsule was stranded in the small intestine. Moreover, capsule retention results in acute intestinal obstruction. Thus, surgery was performed and CMUSE was confirmed. The patient was recovered after partial small intestine resection. Conclusions Capsule retention occurred in nearly 60% of patients with CMUSE. Capsule endoscopy should be avoided when the patient is suspected of CMUSE, especially with severe anemia and radiologic finding in the ileum.
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spelling doaj.art-59e1218ea0024a13bf6766693c5a26f62022-12-21T20:35:10ZengBMCBMC Gastroenterology1471-230X2019-04-011911610.1186/s12876-019-0962-8Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestineEn-Wei Tao0Tian-Hui Zou1Yong-Feng Wang2Jie-Ting Tang3Ying-Xuan Chen4Qin-Yan Gao5Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineDivision of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, State Key Laboratory for Oncogenes and Related Genes, Key Laboratory of Gastroenterology & Hepatology, Ministry of Health, Ren-Ji Hospital, Shanghai Jiao-Tong University School of MedicineAbstract Background CMUSE is a rare disease whose diagnosis remains difficult because the lesion is confined to the small bowel. Case presentation Here, we present a case of 43-year-old female patient suffered chronic abdominal pain for 20 years, and finally diagnosed with CMUSE. Capsule endoscopy was performed when general endoscopic investigation failed to find the lesion, but the capsule was stranded in the small intestine. Moreover, capsule retention results in acute intestinal obstruction. Thus, surgery was performed and CMUSE was confirmed. The patient was recovered after partial small intestine resection. Conclusions Capsule retention occurred in nearly 60% of patients with CMUSE. Capsule endoscopy should be avoided when the patient is suspected of CMUSE, especially with severe anemia and radiologic finding in the ileum.http://link.springer.com/article/10.1186/s12876-019-0962-8Cryptogenic multifocal ulcerous stenosing enteritisCapsule retentionDiagnosisAnemia
spellingShingle En-Wei Tao
Tian-Hui Zou
Yong-Feng Wang
Jie-Ting Tang
Ying-Xuan Chen
Qin-Yan Gao
Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
BMC Gastroenterology
Cryptogenic multifocal ulcerous stenosing enteritis
Capsule retention
Diagnosis
Anemia
title Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
title_full Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
title_fullStr Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
title_full_unstemmed Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
title_short Case report of cryptogenic multifocal ulcerous stenosing enteritis (CMUSE): a rare disease may contribute to endoscopy-capsule retention in the small intestine
title_sort case report of cryptogenic multifocal ulcerous stenosing enteritis cmuse a rare disease may contribute to endoscopy capsule retention in the small intestine
topic Cryptogenic multifocal ulcerous stenosing enteritis
Capsule retention
Diagnosis
Anemia
url http://link.springer.com/article/10.1186/s12876-019-0962-8
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