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Cryptogenic multifocal ulcerative stenosing enteritis (CMUSE) diagnosed by retrograde motorized spiral enteroscopy

Ahead of print available from 30/06/2022
These articles are scheduled for publication in Vol. 85 (3) 2022

Author(s) M. Belhassine 1, C. Dragean 2, H. Dano 3, T.G. Moreels 1
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DOI10.51821/85.3.9471
Affiliations:
(1) Department of Gastroenterology, Cliniques universitaires Saint Luc, Brussels, Belgium
(2) Department of Radiology, Cliniques universitaires Saint Luc, Brussels, Belgium
(3) Deparment of Anatomopathology, Cliniques universitaires Saint Luc, Brussels, Belgium

We present the case of a 59-years-old woman with a history of abdominal pain and iron-deficiency anemia. Upper and lower gastrointestinal endoscopy turned out negative and further investigation with wireless videocapsule showed an inflammatory stricture in the middle of the small bowel with retention of the videocapsule. Treatment with budesonide was initiated and allowed the spontaneous evacuation of the videocapsule. Retrograde motorized spiral enteroscopy was performed and confirmed an ulcerative stricture 60 cm proximal to the ileocaecal valve. Clinical, iconographic, endoscopic and histological results were compatible with a rare entity described as cryptogenic multifocal ulcerative stenosing enteritis (CMUSE). After the diagnosis budesonide was replaced by azathioprine 100 mg/d as an immunosuppressor. However, azathioprine induced mild pancreatitis and a second course of

Keywords: CMUSE; motorized spiral enteroscopy; inflammatory bowel disease.
© Acta Gastro-Enterologica Belgica.
PMID 35833909