Abstract

A 53-year-old woman presented with recurrent episodes of abdominal pain and anemia with nonconclusive endoscopic, radiological, and scintigraphic evaluations. She received steroids, mesalazine, metronidazole, and azathioprine for a suspected diagnosis of Crohn's disease (CD), without clinical improvement. After 8 years of evolution, a wireless capsule endoscopy (WCE) detected ileal ulcers and inflammatory stenosis compatible with CD (Figure A). The capsule did not pass through the ileocecal valve, but an abdominal X-ray was not performed as the patient discontinued follow-up.

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