Neuromuscular and vascular hamartoma as an unusual cause of
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Case :
A 59 year old woman presented for specialist outpatient review with chronic small bowel obstruction. She described a ten year history of increasing abdominal pain, distension and persistent vomiting after oral intake. The patient had a past medical history significant for Crohn’s disease diagnosed 16 years earlier. She had undergone two previous laparotomies, with an ileocolic resection and subsequent ileal resection for Crohn’s fistula and perforation, respectively. The patient had also developed Crohn’s related cirrhosis with a variable coagulopathy and bouts of hepatic encephalopathy. A pre-operative abdominal ultrasound revealed ascites, portal hypertension and splenomegaly. There was no history of non-steroidal anti-inflammatory drug (NSAID) use or radiation exposure.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949502
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