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Case 10: Abdominal pain and bloating

A 32 year old man with Crohn's disease presented with several months of progressive abdominal pain and bloating. His symptoms were related to meals and as a result he had lost significant weight. He had previously undergone ileocolic resection with anastomosis and on this occasion you resect the area of the anastomosis and open the specimen shown below.

Crohn's stricture

1. Describe the specimen shown.

2. What are the histologic features of Crohn's disease?

3. What investigations would you perform prior to operation in this man?