A typical presentation of a rare cause of obscure XXXX .

@entity1 @entity558 @entity548 @entity5 @entity344 @entity674 @entity360
A 52-year-old white @entity1 had suffered from intermittent @entity360 for one year. Upper GI endoscopy, colonoscopy and peroral double-balloon enteroscopy (DBE) did not detect any @entity548 source, suggesting obscure @entity360 . However, in videocapsule endoscopy a jejunal ulceration without @entity548 signs was suspected and this was endoscopically confirmed by another peroral DBE. After transfusion of packed red blood cells, the @entity1 was discharged from our hospital in @entity558 . Two weeks later she was readmitted because of another episode of @entity548 . Multi-detector row computed tomography with 3D reconstruction was performed revealing a @entity5 causing lower @entity360 . The @entity1 underwent exploratory laparotomy with partial jejunal resection and end-to-end jejunostomy for reconstruction. Histological examination of the specimen confirmed the diagnosis of a @entity674 ( @entity674 ). Nine days after surgery the @entity1 was discharged in good health. No signs of @entity344 occurred in a follow-up of eight months. We herein describe the complex presentation and course of this @entity1 with @entity674 and also review the current approach to treatment.
