1病历摘要女,57岁。因上腹痛、腹胀入院。入院后行胃镜检查,发现十二指肠降部充血、水肿、肠腔狭窄,分别用胃镜、十二指肠镜均未通过狭窄部,于狭窄边缘取病理活检,报告为炎性改变,患者后又在北京两所三甲医院行胃镜检查均发现十二指肠狭窄,两次病理活检报告均为炎性改变,初步诊断为克隆恩氏病,故 1 medical record summary female, 57 years old. Due to upper abdominal pain, abdominal distension and admission. After admission, gastroscopy and found that descending duodenum congestion, edema, intestinal stenosis, respectively, endoscopy, duodenoscopy did not pass the stenosis, biopsy taken at the narrow margin, reported as inflammatory changes in patients Later in Beijing two top three hospitals gastroscopy were found duodenal stenosis, two biopsy reports are inflammatory changes, the initial diagnosis of Crohn’s disease, so