%0 Journal Article
%T A case report concerning the importance of the patients¡¯ symptoms and clinical findings in the management of patients
%A Bodil Ohlsson
%J Gastroenterology Insights
%D 2010
%I 
%R 10.4081/gi.2010.e1
%X The gastrointestinal tract has always been difficult to visualize in its entire length. New technology such as magnetic resonance imaging enterography, computed tomography ente-ro--graphy, single- and double-balloon entero-scopy, and video capsule enteroscopy have improved the possibilities for visualizing mucosal changes and pathology in the small intestine. We describe here a case of a patient with gastrointestinal signs and symptoms suggesting recurrent intestinal obstruction over a period of several years, who had mostly normal morphology on endoscopic examination. Nonetheless, after some delay, the patient underwent explorative surgery because of his accelerating symptoms. Abdominal exploration revealed a Meckel¡¯s diverticulum, which had led to inflammatory adhesions of the small intestine with a sharp bend and proximal intestinal dilation. After the operation the patient¡¯s health was restored. We concluded that in certain situations the clinician should rely on the patients¡¯ symptoms and clinical findings more than on technological examinations and the clinical picture should guide clin-icians¡¯ interventions, even though we live in a high-technique era.
%K Gastroenterology
%U http://www.pagepress.org/journals/index.php/gi/article/view/1426