A 25-year-old male patient who had a brother with Crohn's disease was refer
red to our clin,ic with bloody diarrhea and crampy abdominal pain. After a
plain erect abdominal X-ray, enteroclysis :was performed, followed by abdom
inopelvic CT. Be: sides the radiological features of CD, both enteroclysis
and CT revealed a big polypoid filling defect in the small intestine. The p
atient was surgically treated and the histopathology of the specimen reveal
ed a giant fibroid polyp superimposed on CD, an extremely rare complication
heretofore unmentioned in the radiology literature. In this report we disc
uss the role,: of enteroclysis in the diagnosis of complicated cases of lon
g-standing CD. In addition, we also shed light on the importance of both en
teroclysis and CT, with their complementary findings, in the radiological d
iagnosis of rare complicated cases of CD.