Abstract

A 51-year-old man complained of multiple episodes of acute abdominal pain over the past 4 years. Each episode lasted for 2 to 3 days, and the patient was pain-free between episodes. During one attack, the patient presented with fever and leukocytosis, and free air was demonstrated on an abdominal CT; he improved with conservative treatment, which consisted of antibiotics and bowel rest. Investigations, including upper endoscopy, colonoscopy, and abdominopelvic CT, were unrevealing. Wireless capsule endoscopy revealed multiple positive “red detector” signals, with corresponding mucosal erosions in the jejunum.

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