Abstract
A 35-year-old previously healthy man was transferred to our hospital for presumed new diagnosis of penetrating Crohn's disease (CD). Magnetic resonance enterography showed long-segment ileal inflammation and duodenal to transverse colon fistula with small, nondrainable abscesses (Figure A) consistent with CD. Upper and lower endoscopy with ileal intubation were normal. After clinical improvement, he was discharged on a corticosteroid taper and antibiotics with plans for additional small bowel evaluation.
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