PMC8357503_01
MR enterography showing small bowel obstruction with a transition point at focal thickening of the proximal jejunum (arrow).
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fig1
We were suspicious of a more distal site of obstruction and ordered an MR enterography (Figure 1) that revealed a transition point with focal thickening of the proximal jejunum.
EGD showing a clean-based circumferential ulceration in the proximal jejunum with an ulcerated stricture estimated 2 mm in luminal diameter.
CRIGM2021-5583665.002.jpg
PMC8357503_01_CRIGM2021-5583665.002.jpg
fig2
On push enteroscopy, we encountered an ulcerated stricture with only 2-3 mm in luminal diameter (Figure 2).