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IBS of unknown origin

September 15, 2023

A 32-year-old patient was hospitalised twice for IBS of unknown origin, in May and August 2023. Gastroscopy and colonoscopy with examination of the terminal ileum did not reveal a source of bleeding and video capsule endoscopy was ordered. The video capsule endoscopy showed multiple erosions and deep ulcers under the fibrin in the jejunum, c/3 and c/3 ileum. Approximately in n/3 of the ileum, there was already a deformation of the intestinal lumen, with the highest probability of inflammatory genesis. According to the patient, there were no other symptoms before. This endoscopic picture may be consistent with Crohn's disease of the small intestine.