Isolated Jejunal Crohn's Disease Masquerading as Gastroparesis

Cureus. 2022 Jun 25;14(6):e26333. doi: 10.7759/cureus.26333. eCollection 2022 Jun.

Abstract

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.

Keywords: crohn’s disease; gastroparesis; inflammatory bowel disorder; isolated jejunal crohn’s disease; small bowel obstruction.

Publication types

  • Case Reports