Intestinal obstruction by Meckel's diverticulum in stricturing Crohn's disease: coincidence?

We report the case of a 56-year-old male with a long-standing history of stricturing CD involving distal ileum. He had previously been treated with multiple biologics agents (infliximab, adalimumab, ustekinumab) due to persistent stenotic disease requiring repeated endoscopic ileal dilations. He presented to the emergency department with a two-week history of generalized abdominal pain, nausea and vomiting. Physical examination revealed diffuse abdominal tenderness and distension without signs of peritonism. Laboratory tests were unremarkable. Abdominal radiography demonstrated dilated small bowel loops and CT scan suggested an incomplete ileal obstruction secondary to an intraluminal foreign body.