A 39-year-old man had an iliocecal resection and an anastomotic re-resection for Crohn’s disease (see Crohn’s disease discussion) nine and four years respectively prior to presenting with recurrent obstructive symptoms. Initial relief with steroids was followed by recurrent symptoms. Colonoscopy showed inflammation around the anastomosis and stricture.
The retroflexed view from the remaining right colon distal to the anastomosis shows the stricture. Balloon dilatation to 2 cm on two occasions provided very transient relief.
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