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Idiopathic localised dilatation of the intestine in adults
  1. Niccolò Rotigliano1,
  2. Matthias Sauter2,
  3. Markus von Flüe2 and
  4. Daniel Christian Steinemann2
  1. 1 Department of General and Visceral Surgery, University of Basel, Basel, Switzerland
  2. 2 Department of General and Visceral Surgery, Sankt Claraspital AG, Basel, Switzerland
  1. Correspondence to Dr Niccolò Rotigliano, niccolo.rotigliano{at}


Idiopathic localised dilatation of the intestine (ILDI) presenting in adults is rare and difficult to diagnose. Only 18 cases have been reported in the literature. We report a case of a 32-year-old woman presenting with abdominal pain and intermittent small bowel obstruction. After detailed radiological studies, the patient, known for Crohn’s disease, was scheduled for laparoscopy in the suspicion of small bowel stricture. A localised dilatation of the ileum was found intraoperatively and subsequently resected. A systematic review of this rare pathology in adults is carried out. ILDI should be part of the differential diagnosis in patients with unexplained abdominal pain or gastrointestinal bleeding in the presence of segmental dilatation of the intestine. Surgical resection is the treatment of choice.

  • Crohn’s disease
  • small intestine
  • gastrointestinal surgery

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  • Contributors NR, MS and DCS prepared the manuscript; MvF did supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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